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Individual
CONRAD RUSSELL CHAO
Active
Individual
CONRAD RUSSELL CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
G50136
CA
207V00000X
Obstetrics & Gynecology Physician
MD2016-0033
NM
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G50136
CA
207VM0101X
Maternal & Fetal Medicine Physician
MD2016-0033
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G501360
—
CA
01
—
AY586Z
MEDICARE PTAN
CA
Enumeration date
07/09/2006
Last updated
01/27/2025
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