MEDICARE: DR. MICHAEL M DAO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207KA0200X	Allergy Physician	20657	TN

General Provider Information

NPI Number	:	1013983709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL M DAO M.D.

Provider Business Mailing Address
First Line	:	2535 EVERWOOD CT
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37043-9309
Country	:	US
Telephone Number	:	615-594-4008
Fax Number	:	615-777-3297

Provider Business Practice Location Address
First Line	:	1161 MURFREESBORO PIKE STE 500
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-2222
Country	:	US
Telephone Number	:	615-415-5875
Fax Number	:	615-777-3297

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	01/20/2015

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