Individual
DAVID S CHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2535
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
11303
ND
2085R0202X
Diagnostic Radiology Physician
15127R
LA
2085R0202X
Diagnostic Radiology Physician
Primary
A65945
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A659450
BLUE SHIELD OF CA
CA
05
—
00A659450
—
CA
05
—
1158267
—
LA
01
—
4F262
MEDICARE PROVIDER NUMBER
LA
Enumeration date
06/05/2006
Last updated
01/17/2023
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