Provider Demographics
NPI:1609845494
Name:CHOATE, CHERRI SUANN (DPM)
Entity Type:Individual
Prefix:DR
First Name:CHERRI
Middle Name:SUANN
Last Name:CHOATE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:2500 MILVIA ST
Mailing Address - Street 2:SUITE 226
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-2636
Mailing Address - Country:US
Mailing Address - Phone:510-841-5771
Mailing Address - Fax:510-841-5772
Practice Address - Street 1:2500 MILVIA ST
Practice Address - Street 2:SUITE 226
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2636
Practice Address - Country:US
Practice Address - Phone:510-841-5771
Practice Address - Fax:510-841-5772
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAE3771213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU33586Medicare UPIN