Healthcare Provider Details

I. General information

NPI: 1326288010
Provider Name (Legal Business Name): MINH N. HO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2009
Last Update Date: 12/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 MONTGOMERY BOULEVARD NE
ALBUQUERQUE NM
87109
US

IV. Provider business mailing address

1613 N. HARRISON PARKWAY # 200
SUNRISE FL
33323-2853
US

V. Phone/Fax

Practice location:
  • Phone: 505-727-7800
  • Fax:
Mailing address:
  • Phone: 954-838-2371
  • Fax: 954-851-1746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number42358
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberMD2011-0818
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: