| James Cho M.d., Llc | |
|
9890 Clayton Rd Suite 100 Saint Louis MO 63124-1685 | |
| (314) 222-5882 | |
| (314) 222-5883 |
| Full Name | James Cho M.d., Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9890 Clayton Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | James Peter Cho (OWNER) |
| Authorized Official Contact | 3147251515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Cho M.d., Llc 9890 Clayton Rd Suite 100 Saint Louis MO 63124-1685 Ph: (314) 222-5882 | James Cho M.d., Llc 9890 Clayton Rd Suite 100 Saint Louis MO 63124-1685 Ph: (314) 222-5882 |
| NPI Number | 1073985149 |
|---|---|
| Provider Enumeration Date | 10/28/2015 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 2365888005 |
|---|---|
| Medicare Enrollment ID | O20240315002311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073985149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 201427562 (Missouri) | Primary |
| Provider Name | James P Cho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376706754 PECOS PAC ID: 6406921501 Enrollment ID: I20140911001210 |
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