Active NPI
Christopher Koh, M.D.
- Internal Medicine Physician
- Bethesda, MD
National Provider Identifier
1790012391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0065986
- Practice address
- 10 Center Dr
CRC BLDG-10, RM. 4-5722
Bethesda, MD 20892-0001 - Phone
- (301) 451-7009
- NPI assigned
- Nov 3, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0065986 | MD | Primary |
Addresses
Primary practice location
10 Center Dr
CRC BLDG-10, RM. 4-5722
Bethesda, MD 20892-0001
Mailing address
414 Water St
Unit 2403
Baltimore, MD 21202-3203
Phone (443) 983-9376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0065986 | MD | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1790012391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 WATER ST",
"address_2": "UNIT 2403",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212023203",
"telephone_number": "443-983-9376",
"fax_number": "410-244-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CENTER DR",
"address_2": "CRC BLDG-10, RM. 4-5722",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "301-451-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOH",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0065986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.