Healthcare Provider Details

I. General information

NPI: 1063973154
Provider Name (Legal Business Name): FELICIA CAO MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 MANNING DR CB#7305
CHAPEL HILL NC
27599-4699
US

IV. Provider business mailing address

170 MANNING DR CB#7305
CHAPEL HILL NC
27599-7305
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-4431
  • Fax: 919-966-6735
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number2025-00219
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: