Individual
SANDRA A CHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
2235 CLEVELAND RD, SOUTH BEND, IN 46628-3529
(574) 647-4530
(574) 647-2285
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07000825A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000629532
BCBS BMG MAIN ST
IN
05
—
200237740
—
IN
01
—
P00627888
RR MEDICARE
IN
Enumeration date
06/05/2006
Last updated
03/31/2021
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