Provider Demographics
NPI:1427743293
Name:CHOGA, EPINIAH SHAMISO (MD)
Entity type:Individual
Prefix:
First Name:EPINIAH
Middle Name:SHAMISO
Last Name:CHOGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:956 HARVEST GLEN DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-6725
Mailing Address - Country:US
Mailing Address - Phone:214-451-7632
Mailing Address - Fax:
Practice Address - Street 1:ADVENT HEALTH FAMILY MEDICINE
Practice Address - Street 2:1006 W PLEASANT ST
Practice Address - City:AVON PARK
Practice Address - State:FL
Practice Address - Zip Code:33825
Practice Address - Country:US
Practice Address - Phone:863-453-3121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program