Individual
CHOUA THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1930 E THOMAS RD, PHOENIX, AZ 85016-7711
(602) 532-1000
Mailing address
1155 MILL ST MS M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-4196
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
63680
AZ
207R00000X
Internal Medicine Physician
MD044299
DC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
18922
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
E-15968
AR
207RP1001X
Pulmonary Disease Physician
18922
NV
208M00000X
Hospitalist Physician
Primary
A162785
CA
Other
Enumeration date
03/22/2013
Last updated
07/31/2023
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