Provider Demographics
NPI:1598811192
Name:CHOI, WINSTON PHILIP (MD)
Entity Type:Individual
Prefix:
First Name:WINSTON
Middle Name:PHILIP
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3005 112TH AVE NE
Mailing Address - Street 2:STE 210
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-8015
Mailing Address - Country:US
Mailing Address - Phone:650-544-7928
Mailing Address - Fax:425-822-8890
Practice Address - Street 1:3005 112TH AVE NE
Practice Address - Street 2:STE 210
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-8015
Practice Address - Country:US
Practice Address - Phone:650-544-7928
Practice Address - Fax:425-822-8890
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60226518207L00000X
CAA 112823208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology