Healthcare Provider Details

I. General information

NPI: 1194932921
Provider Name (Legal Business Name): MICHAEL HOA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 02/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW GORMAN BLDG, 1ST FL
WASHINGTON DC
20007-2113
US

IV. Provider business mailing address

3800 RESERVOIR RD NW GORMAN BLDG, 1ST FL
WASHINGTON DC
20007-2113
US

V. Phone/Fax

Practice location:
  • Phone: 310-848-4537
  • Fax:
Mailing address:
  • Phone: 310-848-4537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA108712
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD041730
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberD0075914
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: