Provider Demographics
NPI:1700859238
Name:CHO, RAYMOND YOUNG-JIN (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:YOUNG-JIN
Last Name:CHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9432 KATY FWY STE 460
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6349
Mailing Address - Country:US
Mailing Address - Phone:832-699-7922
Mailing Address - Fax:832-780-5341
Practice Address - Street 1:9432 KATY FWY STE 460
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6349
Practice Address - Country:US
Practice Address - Phone:832-699-7922
Practice Address - Fax:832-780-5341
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD419196174400000X
TXQ70262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001901370Medicaid
PA058812F3FMedicare ID - Type Unspecified