Provider Demographics
NPI:1790049773
Name:CHO, MAXIMILIAN YUE (MD)
Entity type:Individual
Prefix:DR
First Name:MAXIMILIAN
Middle Name:YUE
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:PO BOX 223897
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-2897
Mailing Address - Country:US
Mailing Address - Phone:844-947-4260
Mailing Address - Fax:302-261-5622
Practice Address - Street 1:110 W LAS TUNAS DR STE A
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1346
Practice Address - Country:US
Practice Address - Phone:626-244-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1239242085N0700X
COCDR.00047082085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology