Individual
GARY KAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 2 DONNER BLDG, PHILADELPHIA, PA 19104
(215) 662-2428
Mailing address
3624 MARKET STREET, STE 560W UPHS OFFICE OF MEDICAL AFFAIRS, PHILADELPHIA, PA 19104
(215) 662-2286
(215) 615-0500
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD042220L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016516890010
—
PA
Enumeration date
07/04/2006
Last updated
07/08/2007
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