MEDICARE: DR. NICOLA C HO 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	207SG0201X	Clinical Genetics (M.D.) Physician	D0058002	MD

General Provider Information

NPI Number	:	1932251121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICOLA C HO M.D.

Provider Business Mailing Address
First Line	:	8315 NORTH BROOK LANE
Second Line	:	#604
City	:	BETHESDA
State	:	MD
Zip	:	20814-2648
Country	:	US
Telephone Number	:	301-652-0518
Fax Number	:	301-652-0518

Provider Business Practice Location Address
First Line	:	8315 NORTH BROOK LANE
Second Line	:	#604
City	:	BETHESDA
State	:	MD
Zip	:	20814-2648
Country	:	US
Telephone Number	:	301-652-0518
Fax Number	:	301-652-0518

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

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	07/08/2007

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