Individual
JASON CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3944
(216) 286-6341
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-048388
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000135269
ANTHEM
OH
01
—
000000224225
UNISON
—
01
—
000000530385
ANTHEM
OH
05
—
0554654
—
OH
01
—
363417
WELLCARE
—
01
—
4007078
AETNA
OH
01
—
80044867
RAILROAD MEDICARE
OH
01
—
P00425623
RAILROAD MEDICARE
OH
Enumeration date
07/14/2006
Last updated
12/14/2020
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