Provider Demographics
NPI:1316110125
Name:CHO, RICHARD LEE (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LEE
Last Name:CHO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3020 HAMAKER CT
Mailing Address - Street 2:SUITE 400
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2238
Mailing Address - Country:US
Mailing Address - Phone:703-876-0800
Mailing Address - Fax:703-876-0866
Practice Address - Street 1:1830 TOWN CENTER DR
Practice Address - Street 2:SUITE 305
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3292
Practice Address - Country:US
Practice Address - Phone:703-478-0601
Practice Address - Fax:703-876-0866
Is Sole Proprietor?:No
Enumeration Date:2008-04-12
Last Update Date:2023-10-12
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Provider Licenses
StateLicense IDTaxonomies
VA01012428942084S0012X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1316110125Medicaid
VA128282Y4BMedicare PIN