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NPI Code Detail

MEDICARE: DR. CHAD MAO M.D.

MEDICARE: DR. CHAD MAO 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
1207RC0001XClinical Cardiac Electrophysiology Physician065479GA
2208000000XPediatrics Physician0101232796VA
32080P0202XPediatric Cardiology PhysicianA118930CA
42080P0202XPediatric Cardiology Physician065479GA
5207RA0001XAdvanced Heart Failure and Transplant Cardiology Physician065479GA

General Provider Information

NPI Number : 1548262967
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHAD MAO M.D.
Provider Business Mailing Address
First Line : 2970 BRANDYWINE RD STE 125
Second Line :
City : ATLANTA
State : GA
Zip : 30341-5528
Country : US
Telephone Number : 404-256-2593
Fax Number : 770-488-9408
Provider Business Practice Location Address
First Line : 2220 N DRUID HILLS RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3117
Country : US
Telephone Number : 404-256-2593
Fax Number : 770-488-9408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 10/03/2024

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