Provider Demographics
NPI:1891550141
Name:CHOI, MICHAEL (PA)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:94-1041 KAHUAMOKU ST APT 201
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3452
Mailing Address - Country:US
Mailing Address - Phone:206-866-8779
Mailing Address - Fax:
Practice Address - Street 1:99-115 AIEA HEIGHTS DR STE 276B
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3924
Practice Address - Country:US
Practice Address - Phone:808-784-3050
Practice Address - Fax:808-784-3059
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant