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NPI Code Detail

MEDICARE: GIAO QUACH M.D.

MEDICARE: GIAO QUACH 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
1207Q00000XFamily Medicine PhysicianU8573TX
2207Q00000XFamily Medicine PhysicianDR.0070875CO
3207Q00000XFamily Medicine PhysicianMD61432846WA
4207Q00000XFamily Medicine Physician1017300MA
5207Q00000XFamily Medicine Physician99028GA
6207Q00000XFamily Medicine Physician2023-02903NC
7207Q00000XFamily Medicine Physician52780AZ

General Provider Information

NPI Number : 1114364361
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIAO QUACH M.D.
Provider Business Mailing Address
First Line : 3137 W INDIAN SCHOOL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85017-4069
Country : US
Telephone Number : 520-248-8630
Fax Number : 415-252-7176
Provider Business Practice Location Address
First Line : 6611 W PEORIA AVE
Second Line : SUITE 13
City : GLENDALE
State : AZ
Zip : 85302-7000
Country : US
Telephone Number : 602-325-5580
Fax Number : 415-252-7176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2013
Last Update Date : 04/17/2025

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