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NPI Code Detail

MEDICARE: DASHI BAO M.D.

MEDICARE: DASHI BAO 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
1207R00000XInternal Medicine Physician265628NY

Other Identifiers

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

General Provider Information

NPI Number : 1821353970
Entity Type Code : Individual
Provider Name (Legal Business Name) : DASHI BAO M.D.
Provider Business Mailing Address
First Line : 13620 MAPLE AVE # C901
Second Line :
City : FLUSHING
State : NY
Zip : 11355-5166
Country : US
Telephone Number : 917-285-2780
Fax Number : 718-709-7589
Provider Business Practice Location Address
First Line : 13620 MAPLE AVE # C901
Second Line :
City : FLUSHING
State : NY
Zip : 11355-5166
Country : US
Telephone Number : 917-285-2780
Fax Number : 917-285-2776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2012
Last Update Date : 10/29/2024

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