Provider Demographics
NPI:1639235328
Name:CHOI, YONG U (MD)
Entity Type:Individual
Prefix:
First Name:YONG
Middle Name:U
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:17450 ST LUKES WAY STE 300
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-2003
Mailing Address - Country:US
Mailing Address - Phone:936-266-2690
Mailing Address - Fax:936-266-2691
Practice Address - Street 1:17450 ST LUKES WAY STE 300
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-2003
Practice Address - Country:US
Practice Address - Phone:936-266-2690
Practice Address - Fax:936-266-2691
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA045053208600000X
TXM3189208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD 000Medicare UPIN