# DR. GEOFFREY TE JAO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992885545
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 002717 | NY | — |
| 207R00000X | Internal Medicine Physician | 2007-00528 | NC | — |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | 2007-00528 | NC | Yes |
| 207RC0000X | Cardiovascular Disease Physician | 2007-00528 | NC | — |
| 208M00000X | Hospitalist Physician | 2007-00528 | NC | — |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 06/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 145HT | BCBS | NC |
| 01 | — | 199206 | MEDCOST | NC |
| 05 | — | 1992885545 | — | VA |
| 05 | — | 3810009020 | — | WV |
| 05 | — | 5906676 | — | NC |
| 01 | — | 810599 | PARTNERS | NC |
| 01 | — | 9164064 | AETNA | NC |
| 05 | — | Q0052M | — | SC |