Provider Demographics
NPI:1982726345
Name:CHOW, ALISON MAKIKO MOTOSUE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:MAKIKO MOTOSUE
Last Name:CHOW
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 1:6600 BRUCEVILLE RD
Mailing Address - Street 2:BUILDING #3 KAISER SOUTH SACRAMENTO
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-4671
Mailing Address - Country:US
Mailing Address - Phone:916-688-6800
Mailing Address - Fax:916-688-2207
Practice Address - Street 1:6600 BRUCEVILLE RD BLDG 3
Practice Address - Street 2:KAISER SOUTH SACRAMENTO DEPT OF PEDIATRICS
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-4671
Practice Address - Country:US
Practice Address - Phone:916-688-6800
Practice Address - Fax:916-688-2207
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2021-12-15
Deactivation Date:2013-03-08
Deactivation Code:
Reactivation Date:2013-03-08
Provider Licenses
StateLicense IDTaxonomies
HI15106207KA0200X, 208000000X
CAA84307207KA0200X, 208000000X
CA(CA)A84307208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI635261-01Medicaid
HI0000292045OtherHMSA BILLING NUMBER
HI0000292045OtherHMSA BILLING NUMBER