Provider Demographics
NPI:1134262892
Name:CHOW, DAVID KIMKWONG (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KIMKWONG
Last Name:CHOW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1830 TOWN CENTER DR
Mailing Address - Street 2:210
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3292
Mailing Address - Country:US
Mailing Address - Phone:703-478-3000
Mailing Address - Fax:703-478-3002
Practice Address - Street 1:1830 TOWN CENTER DR
Practice Address - Street 2:210
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3292
Practice Address - Country:US
Practice Address - Phone:703-478-3000
Practice Address - Fax:703-478-3002
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101030439207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D05866Medicare UPIN