Healthcare Provider Details

I. General information

NPI: 1851737365
Provider Name (Legal Business Name): SANDRA T HAO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2013
Last Update Date: 05/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12140 NALL AVE SUITE 300
OVERLAND PARK KS
66209-2503
US

IV. Provider business mailing address

12140 NALL AVE SUITE 300
OVERLAND PARK KS
66209-2503
US

V. Phone/Fax

Practice location:
  • Phone: 913-451-8500
  • Fax: 913-451-1754
Mailing address:
  • Phone: 913-451-8500
  • Fax: 913-451-1754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number39741
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: