Provider Demographics
NPI:1932121951
Name:CHO, CHRISTINE S (MD, MPH)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:S
Last Name:CHO
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:747 52ND ST
Mailing Address - Street 2:DIVISION OF EMERGENCY MEDICINE
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1809
Mailing Address - Country:US
Mailing Address - Phone:510-428-3259
Mailing Address - Fax:510-450-5836
Practice Address - Street 1:747 52ND ST
Practice Address - Street 2:DIVISION OF EMERGENCY MEDICINE
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1809
Practice Address - Country:US
Practice Address - Phone:510-428-3259
Practice Address - Fax:510-450-5836
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD423912208000000X, 2080P0204X
CAA101399208000000X, 2080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101374966Medicaid
NJ0083020Medicaid
NJ0083020Medicaid
PA095169Medicare ID - Type Unspecified