NPI 1962817676 · live from the CMS NPI Registry
Eric Q Chow, M.D.
Radiology, Vascular & Interventional Radiology in Grand Rapids, MI. National Provider Identifier 1962817676, active.
NPI record
| NPI | 1962817676 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Vascular & Interventional Radiology 2085R0204X |
| Practice location | 200 Jefferson Ave Se, Grand Rapids, MI 49503 |
| Practice phone | 616-685-6200 |
| Mailing address | Po Box 5329, Saginaw, MI 48603 |
| Enumerated | June 23, 2014 |
| Last updated | November 27, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116028364 (VA) |
| Radiology, Vascular & Interventional Radiology primary | 2085R0204X | 4301502631 (MI) |
| Radiology, Diagnostic Radiology | 2085R0202X | 0116028364 (VA) |
| Radiology, Diagnostic Radiology | 2085R0202X | 4301502631 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.