Provider Demographics
NPI:1528024122
Name:CHOW, CHRISTOPHER G (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:G
Last Name:CHOW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18433 ROSCOE BLVD
Mailing Address - Street 2:#208
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-4108
Mailing Address - Country:US
Mailing Address - Phone:818-341-4401
Mailing Address - Fax:818-341-4402
Practice Address - Street 1:18433 ROSCOE BLVD
Practice Address - Street 2:#208
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4108
Practice Address - Country:US
Practice Address - Phone:818-341-4401
Practice Address - Fax:818-341-4402
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-22
Last Update Date:2010-03-11
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Provider Licenses
StateLicense IDTaxonomies
CAA73605207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H64138Medicare UPIN