Individual
DR. DAE B. CHOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5838 HARBOUR VIEW BLVD, SUITE 270, SUFFOLK, VA 23435-2663
(757) 541-1050
(757) 541-1097
Mailing address
5838 HARBOUR VIEW BLVD, SUITE 270, SUFFOLK, VA 23435-2663
(757) 541-1050
(757) 541-1097
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101030783
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6082459
—
VA
Enumeration date
07/24/2006
Last updated
08/23/2011
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