Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 29298 | OK |
N | 111NI0900X | Internist | 29298 | OK |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 29298 | OK |
NPI | 1093075707 |
---|---|
Provider Name | James Choe |
First Address | Del City, OK 73115-3018 |
Second Address | Del City, OK 73115-3018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2012 |
Last Update Date | 10/02/2022 |