Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 35072051C | OH |
NPI | 1063451367 |
---|---|
Provider Name | Mr. Andy J. Cho |
First Address | Gahanna, OH 43230-1987 |
Second Address | Gahanna, OH 43230-1987 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 13/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0370427 | RAILROAD MEDICARE (01) | OH |
2231436 | (05) | OH |
H21195 | (02) | OH |