Provider Demographics
NPI:1356425607
Name:CHEN & HO MD PC
Entity type:Organization
Organization Name:CHEN & HO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:K
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-683-0999
Mailing Address - Street 1:312 S WASHINGTON ST
Mailing Address - Street 2:SUITE 6B
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-3684
Mailing Address - Country:US
Mailing Address - Phone:703-683-0999
Mailing Address - Fax:703-836-7120
Practice Address - Street 1:312 S WASHINGTON ST
Practice Address - Street 2:SUITE 6B
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3684
Practice Address - Country:US
Practice Address - Phone:703-683-0999
Practice Address - Fax:703-836-7120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101058494174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5843782Medicaid
002999C53Medicare ID - Type Unspecified
VA5843782Medicaid
VA158253Medicare ID - Type Unspecified