Provider Demographics
NPI:1679660443
Name:CHO PEDIATRICS, INC
Entity Type:Organization
Organization Name:CHO PEDIATRICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MI HEI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-926-5441
Mailing Address - Street 1:3737 N MERIDIAN ST
Mailing Address - Street 2:SUITE 501
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-4348
Mailing Address - Country:US
Mailing Address - Phone:317-926-5441
Mailing Address - Fax:317-926-7645
Practice Address - Street 1:3737 N MERIDIAN ST
Practice Address - Street 2:SUITE 501
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-4383
Practice Address - Country:US
Practice Address - Phone:317-926-5441
Practice Address - Fax:317-926-7645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01048770208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ING97908Medicare UPIN