Provider Demographics
| NPI: | 1982604005 |
|---|---|
| Name: | CHOW, ARTHUR YICHIA (MD) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | ARTHUR |
| Middle Name: | YICHIA |
| Last Name: | CHOW |
| 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: | 2800 BLUE RIDGE RD STE 400 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | RALEIGH |
| Mailing Address - State: | NC |
| Mailing Address - Zip Code: | 27607-6477 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 919-787-5380 |
| Mailing Address - Fax: | 919-784-5605 |
| Practice Address - Street 1: | 2800 BLUE RIDGE RD STE 400 |
| Practice Address - Street 2: | |
| Practice Address - City: | RALEIGH |
| Practice Address - State: | NC |
| Practice Address - Zip Code: | 27607-6477 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 919-787-5380 |
| Practice Address - Fax: | 919-784-5605 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2005-07-29 |
| Last Update Date: | 2021-06-28 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NC | 2005-00902 | 207R00000X, 207RC0000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
| No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NC | 5900963 | Medicaid | |
| NC | 5900963 | Medicaid | |
| NC | I32344 | Medicare UPIN |