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Individual

DR. IK RAE CHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502-6393
(866) 369-1122
Mailing address
PO BOX 4974, HAGERSTOWN, MD 21742-0974
(866) 369-1122

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
D23581
MD
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
D23581
MD
2085N0904X
Nuclear Radiology Physician
D23581
MD
2085R0202X
Diagnostic Radiology Physician
Primary
D23581
MD
2085R0204X
Vascular & Interventional Radiology Physician
D23581
MD
2085U0001X
Diagnostic Ultrasound Physician
D23581
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
313931000
MD
Enumeration date
06/05/2006
Last updated
09/10/2013
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