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General NPI Number Information
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NPI Number | 1992885545
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Entity Type | Individual
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Provider Name | GEOFFREY TE JAO M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 10210 N 92ND ST STE 300
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4525
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Country | US
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Telephone | 480-882-7750
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Fax | 808-825-8384
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Provider Business Mailing Address
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Address Line | 2500 W UTOPIA RD STE 100
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City | PHOENIX
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State | AZ
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Zip | 85027-4172
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Country | US
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Telephone | 623-683-4462
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Fax | 623-682-4963
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 2007-00528
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2007-00528
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 2007-00528
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2007-00528
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 002717
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License Number State | NY
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