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NPI Code Detail

MEDICARE: DR. DAMON H. CAO M.D.

MEDICARE: DR. DAMON H. CAO M.D.
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
1207R00000XInternal Medicine PhysicianT6204TX
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianT6204TX
3207RN0300XNephrology PhysicianT6204TX
4207R00000XInternal Medicine Physician125068720IL

General Provider Information

NPI Number : 1790133049
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAMON H. CAO M.D.
Provider Business Mailing Address
First Line : 2525 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-2315
Country : US
Telephone Number : 312-567-2000
Fax Number :
Provider Business Practice Location Address
First Line : 6720 BERTNER AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2604
Country : US
Telephone Number : 713-798-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2016
Last Update Date : 02/02/2026

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