Provider Demographics
NPI:1851301568
Name:CHO, EUGENE SYN (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:SYN
Last Name:CHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 S L ST
Mailing Address - Street 2:101
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-3799
Mailing Address - Country:US
Mailing Address - Phone:253-383-5949
Mailing Address - Fax:253-383-5953
Practice Address - Street 1:419 S L ST
Practice Address - Street 2:101
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-3799
Practice Address - Country:US
Practice Address - Phone:253-383-5949
Practice Address - Fax:253-383-5953
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00043189208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1801CHOtherREGENCE
WA1200112Medicaid
WA0221878OtherL&I
WA1801CHOtherREGENCE
WA0221878OtherL&I