Provider Demographics
NPI:1386894640
Name:CHAW, TOA GOON (MD)
Entity type:Individual
Prefix:
First Name:TOA
Middle Name:GOON
Last Name:CHAW
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 1:1008 W JOPPA RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-3731
Mailing Address - Country:US
Mailing Address - Phone:410-821-8283
Mailing Address - Fax:
Practice Address - Street 1:1008 W JOPPA RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-3731
Practice Address - Country:US
Practice Address - Phone:410-821-8283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0018856207LC0200X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice