Healthcare Provider Details

I. General information

NPI: 1780116004
Provider Name (Legal Business Name): ANGELA NHU AN DAO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 E 2ND ST STE 300
RENO NV
89502-1175
US

IV. Provider business mailing address

1155 MILL ST # MSM14
RENO NV
89502-1576
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-5000
  • Fax: 775-982-3901
Mailing address:
  • Phone: 775-982-5262
  • Fax: 775-982-3901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number25389
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: