Healthcare Provider Details

I. General information

NPI: 1932251121
Provider Name (Legal Business Name): NICOLA C HO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8315 NORTH BROOK LANE #604
BETHESDA MD
20814-2648
US

IV. Provider business mailing address

8315 NORTH BROOK LANE #604
BETHESDA MD
20814-2648
US

V. Phone/Fax

Practice location:
  • Phone: 301-652-0518
  • Fax: 301-652-0518
Mailing address:
  • Phone: 301-652-0518
  • Fax: 301-652-0518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberD0058002
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: