Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RX0202X | Medical Oncology | P9059 | TX |
N | 208200000X | Surgeon | D43340 | MD |
N | 208600000X | Surgeon | D43340 | MD |
N | 208200000X | Surgeon | P9059 | TX |
N | 208600000X | Surgeon | P9059 | TX |
Y | 2086X0206X | Surgical Oncologist | P9059 | TX |
NPI | 1104878099 |
---|---|
Provider Name | Mr. Michael Andrew Choti |
First Address | Gilbert, AZ 85234 |
Second Address | Dallas, TX 75390-7201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 30/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
757661700 | (05) | MD |
F39499 | (02) | MD |