Provider Demographics
NPI:1679554331
Name:CHO, JOSALYN LEAH OLSEN (MD)
Entity Type:Individual
Prefix:
First Name:JOSALYN
Middle Name:LEAH OLSEN
Last Name:CHO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOSALYN
Other - Middle Name:LEAH
Other - Last Name:OLSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-384-6563
Mailing Address - Fax:319-353-6406
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242
Practice Address - Country:US
Practice Address - Phone:319-384-6563
Practice Address - Fax:319-353-6406
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-45337207R00000X, 207RC0200X, 207RP1001X
MA224214207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine