Individual
CHANGHYUN MICHAEL CHOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3495 HACKS CROSS RD, MEMPHIS, TN 38125-8803
(901) 526-7444
(901) 526-0791
Mailing address
3495 HACKS CROSS RD, MEMPHIS, TN 38125-8803
(901) 526-7444
(901) 271-2618
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
41778
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35-050962C
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
41778
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000135404
ANTHEM BC/BS
OH
05
—
0893510
—
OH
01
—
341632753
AULTCARE
OH
01
—
341632753002
MEDICAL MUTUAL
OH
01
—
341632753029
CARESOURCE
OH
01
—
341632753P
SUMMACARE
OH
01
—
89601
QUALCHOICE
OH
Enumeration date
08/11/2006
Last updated
08/26/2024
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