Provider Demographics
NPI:1013932789
Name:MAUNG, CHO C (MD)
Entity Type:Individual
Prefix:
First Name:CHO
Middle Name:C
Last Name:MAUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3101 SHADY VIEW WAY
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1343
Mailing Address - Country:US
Mailing Address - Phone:410-788-6603
Mailing Address - Fax:410-788-6601
Practice Address - Street 1:516 N ROLLING RD
Practice Address - Street 2:STE 301
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228
Practice Address - Country:US
Practice Address - Phone:410-788-6603
Practice Address - Fax:410-788-6601
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2010-01-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD45274207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD090820701Medicaid
G46212Medicare UPIN
MD090820701Medicaid