Provider Demographics
NPI:1750687356
Name:CHOW, ERIC (MPA, DO)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:CHOW
Suffix:
Gender:M
Credentials:MPA, DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 227
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95015-0227
Mailing Address - Country:US
Mailing Address - Phone:408-857-1925
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-721-7212
Practice Address - Fax:650-721-3471
Is Sole Proprietor?:No
Enumeration Date:2011-01-31
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
146N00000X, 390200000X
CA20A19632207LP2900X, 207L00000X
CAPA21453363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program