Provider Demographics
NPI:1356340798
Name:CHO, CARRIE T (DPM)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:T
Last Name:CHO
Suffix:
Gender:F
Credentials:DPM
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Mailing Address - Street 1:1232 PERIMETER PARKWAY
Mailing Address - Street 2:STE. 102
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-5924
Mailing Address - Country:US
Mailing Address - Phone:757-427-7447
Mailing Address - Fax:757-301-7145
Practice Address - Street 1:1232 PERIMETER PARKWAY
Practice Address - Street 2:STE. 102
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-5924
Practice Address - Country:US
Practice Address - Phone:757-427-7447
Practice Address - Fax:757-301-7145
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0103300885213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U94687Medicare UPIN
VA00V261C43Medicare ID - Type Unspecified