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Individual

TOM L. YAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
210 E GRAY ST STE 1105, LOUISVILLE, KY 40202-3907
(502) 583-1697
(502) 583-2120
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
42683
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000621167
ANTHEM - NNIKY
KY
01
000023036T
HUMANA - NNIKY
KY
01
00533143
MEDICARE KY - NNIKY
KY
01
105275
SIHO - NNIKY
KY
05
200967290
IN
01
3725189000
PASSPORT ADVTG - NNIKY
KY
01
50024755
PASSPORT - NNIKY
KY
01
7100074160
MEDICAID - KY - NNIKY
KY
Enumeration date
01/04/2007
Last updated
01/22/2021
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