Provider Demographics
NPI:1720057383
Name:CHO, YOUNG HEI (MD)
Entity Type:Individual
Prefix:DR
First Name:YOUNG HEI
Middle Name:
Last Name:CHO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 POTOMAC RIVER RD
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-1403
Mailing Address - Country:US
Mailing Address - Phone:703-821-2940
Mailing Address - Fax:703-354-2009
Practice Address - Street 1:7501 LITTLE RIVER TPKE
Practice Address - Street 2:SUITE 101
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2923
Practice Address - Country:US
Practice Address - Phone:703-354-2004
Practice Address - Fax:703-354-2009
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101029953208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006721125Medicaid