Individual
LESLIE FAN HAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5530 WISCONSIN AVE, SUITE #1455, CHEVY CHASE, MD 20815-4404
(301) 656-8630
(301) 656-8631
Mailing address
5530 WISCONSIN AVE, SUITE #1455, CHEVY CHASE, MD 20815-4404
(301) 656-8630
(301) 656-8631
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D0056720
MD
207Y00000X
Otolaryngology Physician
MD32660
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0W54TP
BLUE CROSS
—
Enumeration date
01/24/2007
Last updated
01/02/2008
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