Healthcare Provider Details

I. General information

NPI: 1326054115
Provider Name (Legal Business Name): THAI HUU HO M.D./PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13400 E SHEA BLVD MAYO CLINIC ARIZONA
SCOTTSDALE AZ
85259-5452
US

IV. Provider business mailing address

13400 E SHEA BLVD MAYO CLINIC ARIZONA
SCOTTSDALE AZ
85259-5452
US

V. Phone/Fax

Practice location:
  • Phone: 480-301-8335
  • Fax: 480-301-4675
Mailing address:
  • Phone: 480-301-8335
  • Fax: 480-301-8335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2008032274
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberN3732
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number46460
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: