Basic Information
Provider Information
NPI: 1700178159
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOW
FirstName: ANDREW
MiddleName: ZENHONG
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 1ST ST SW
Address2:  
City: ROCHESTER
State: MN
PostalCode: 559050001
CountryCode: US
TelephoneNumber: 5077818146
FaxNumber:  
Practice Location
Address1: 1025 MARSH ST
Address2:  
City: MANKATO
State: MN
PostalCode: 560014752
CountryCode: US
TelephoneNumber: 5076254031
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/04/2011
LastUpdateDate: 08/30/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/30/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XQ5374TXN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202XME133437FLN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0204XQ5374TXN Allopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
2085R0202X63588MNY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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