Healthcare Provider Details

I. General information

NPI: 1699272179
Provider Name (Legal Business Name): LINH THI MY HO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2018
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST
DENVER CO
80204-4597
US

IV. Provider business mailing address

777 BANNOCK ST
DENVER CO
80204-4597
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-5200
  • Fax: 303-602-5261
Mailing address:
  • Phone: 303-602-5200
  • Fax: 303-602-5261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberDR.0071091
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License NumberDR.0071091
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: