Provider Demographics
NPI:1740921352
Name:CHOI, JOON KOO (MD, MCH)
Entity type:Individual
Prefix:DR
First Name:JOON KOO
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD, MCH
Other - Prefix:DR
Other - First Name:PAUL
Other - Middle Name:
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MCH
Mailing Address - Street 1:920 MADISON AVE STE 447
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-3438
Mailing Address - Country:US
Mailing Address - Phone:901-448-1350
Mailing Address - Fax:920-447-3810
Practice Address - Street 1:920 MADISON AVE STE 447
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38163-3438
Practice Address - Country:US
Practice Address - Phone:901-448-1350
Practice Address - Fax:901-448-7306
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program