MEDICARE: HUIMIN GUO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	D0079643	MD
2	207ZC0500X	Cytopathology Physician	D0079643	MD

General Provider Information

NPI Number	:	1184858516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUIMIN GUO MD

Provider Business Mailing Address
First Line	:	18207A FLOWER HILL WAY
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20879-5331
Country	:	US
Telephone Number	:	301-926-4707
Fax Number	:	301-926-4708

Provider Business Practice Location Address
First Line	:	18207A FLOWER HILL WAY
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20879-5331
Country	:	US
Telephone Number	:	301-926-4707
Fax Number	:	301-926-4708

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2009
Last Update Date	:	08/13/2015

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Directions to “ HUIMIN GUO MD” Practice Location

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