Provider Demographics
NPI:1780799684
Name:CHOI, YOUNG H (MD)
Entity type:Individual
Prefix:
First Name:YOUNG
Middle Name:H
Last Name:CHOI
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 1:2100 DEVEREUX CIR
Mailing Address - Street 2:STE 100
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2558
Mailing Address - Country:US
Mailing Address - Phone:205-879-2221
Mailing Address - Fax:
Practice Address - Street 1:2100 DEVEREUX CIR STE 100
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-2558
Practice Address - Country:US
Practice Address - Phone:205-879-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000039812207W00000X
ALMD28466207W00000X
GA056275207W00000X
AL28466207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-11084OtherBC-2010 PATTON CHAPEL ROAD, VESTAVIA
AL515-45891OtherBC 250 STATE FARM PARKWAY, BIRMINGHAM
AL1780799684Medicaid
AL510-11084OtherBC-2010 PATTON CHAPEL ROAD, VESTAVIA
AL515-45891OtherBC 250 STATE FARM PARKWAY, BIRMINGHAM
ALI35471Medicare UPIN
GA5111800001Medicare PIN
AL1780799684Medicaid