Provider Demographics
NPI:1215110085
Name:CHO C.MAUNG, MD, PA
Entity type:Organization
Organization Name:CHO C.MAUNG, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHO
Authorized Official - Middle Name:C
Authorized Official - Last Name:MAUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-788-6603
Mailing Address - Street 1:3101 SHADY VIEW WAY
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1343
Mailing Address - Country:US
Mailing Address - Phone:410-788-6603
Mailing Address - Fax:410-788-6601
Practice Address - Street 1:516 N ROLLING RD
Practice Address - Street 2:SUITE 301
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4140
Practice Address - Country:US
Practice Address - Phone:410-788-6603
Practice Address - Fax:410-788-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD45274207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD090820701Medicaid
MD090820701Medicaid