Basic Information
Provider Information
NPI: 1568755379
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOW
FirstName: WOON
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D., PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 91734
Address2:  
City: RICHMOND
State: VA
PostalCode: 232911734
CountryCode: US
TelephoneNumber: 8043586100
FaxNumber: 8043427619
Practice Location
Address1: 1200 E MARSHALL ST # 6-242
Address2:  
City: RICHMOND
State: VA
PostalCode: 232985049
CountryCode: US
TelephoneNumber: 8048287284
FaxNumber: 8048289749
Other Information
ProviderEnumerationDate: 05/26/2011
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZN0500X52653TNN Allopathic & Osteopathic PhysiciansPathologyNeuropathology
207ZN0500X0101257709VAY Allopathic & Osteopathic PhysiciansPathologyNeuropathology

No ID Information.


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