Provider Demographics
NPI:1699181073
Name:CHO TUMASANG, YVONNE SUH
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:SUH
Last Name:CHO TUMASANG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13304 OYSTERCATCHER LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4764
Mailing Address - Country:US
Mailing Address - Phone:240-713-1192
Mailing Address - Fax:
Practice Address - Street 1:13304 OYSTERCATCHER LN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-4764
Practice Address - Country:US
Practice Address - Phone:240-713-1192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-07
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY799005163W00000X
DCRN1059424163W00000X
VAPMH02250045163WP0808X
DC374U00000X
VA0001301565163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No374U00000XNursing Service Related ProvidersHome Health Aide