Provider Demographics
NPI:1104813286
Name:CHOI, SEAN H (MD)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:H
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:E MC KEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15035-1556
Mailing Address - Country:US
Mailing Address - Phone:412-824-4015
Mailing Address - Fax:412-824-6141
Practice Address - Street 1:333 LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:E MC KEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15035-1556
Practice Address - Country:US
Practice Address - Phone:412-824-4015
Practice Address - Fax:412-824-6141
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-04
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD017505E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
101679OtherUPMC
444111434OtherPLAMETTO GBA
1417181OtherHIGHMARK
PA0006816560001Medicaid
72809OtherTHREE RIVERS
101679OtherUPMC
027761Medicare ID - Type Unspecified