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NPI Code Detail

MEDICARE: KE-PING TSAO, MD

MEDICARE: KE-PING TSAO, MD
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
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21902979636OTHERCAINDIVIDUAL NPI

General Provider Information

NPI Number : 1093017121
Entity Type Code : Organization
Provider Name (Legal Business Name) : KE-PING TSAO, MD
Provider Business Mailing Address
First Line : 1035 PEACH ST
Second Line : SUITE 303
City : SAN LUIS OBISPO
State : CA
Zip : 93401-2700
Country : US
Telephone Number : 805-543-9377
Fax Number : 805-543-1820
Provider Business Practice Location Address
First Line : 1035 PEACH ST
Second Line : SUITE 303
City : SAN LUIS OBISPO
State : CA
Zip : 93401-2700
Country : US
Telephone Number : 805-543-9377
Fax Number : 805-543-1820
Authorized Official
Title or Position : OWNER
Name : DR. KE-PING TSAO
Credential : MD
Telephone Number : 805-543-9377
Provider Enumeration Date : 11/22/2010
Last Update Date : 11/22/2010

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Directions to “KE-PING TSAO, MD ” Practice Location

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