Individual
ANDREW P HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 E HACKETT RD, MODESTO, CA 95358-9415
(209) 639-2970
Mailing address
PO BOX 2386, OAKDALE, CA 95361-5386
(209) 639-2970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A84793
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
A84793
CA
208M00000X
Hospitalist Physician
A84793
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A847930
—
CA
Enumeration date
05/05/2006
Last updated
03/03/2015
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