Provider Demographics
NPI:1568569747
Name:ROBERT K CHOW, MD P.S.
Entity Type:Organization
Organization Name:ROBERT K CHOW, MD P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:KP
Authorized Official - Last Name:CHOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-324-7546
Mailing Address - Street 1:13512 AMBAUM BLVD SW
Mailing Address - Street 2:#100
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98146-3168
Mailing Address - Country:US
Mailing Address - Phone:206-324-7546
Mailing Address - Fax:206-324-7547
Practice Address - Street 1:13512 AMBAUM BLVD SW
Practice Address - Street 2:#100
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98146-3168
Practice Address - Country:US
Practice Address - Phone:206-324-7546
Practice Address - Fax:206-324-7547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00037378207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5354CHOtherBLUESHIELD REGENCE
WA=========OtherCOMMERCIAL
WA5354CHOtherBLUESHIELD REGENCE
WA=========OtherCOMMERCIAL