Individual
KAI MIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2310 ERWIN RD, DURHAM, NC 27710-0001
(919) 862-5237
Mailing address
PO BOX 602463, CHARLOTTE, NC 28260-2463
(252) 633-8000
(252) 635-6951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2001001101
NC
208M00000X
Hospitalist Physician
Primary
20101101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129JA
BLUE CROSS
NC
05
—
89129JA
—
NC
Enumeration date
08/24/2005
Last updated
04/12/2024
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