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Individual

CONRAD RUSSELL CHAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
DEPARTMENT OF OBSTETRICS AND GYNECOLOGY HSC, 1 UNIVERSITY OF NEW MEXICO MSC 10 5580, ALBUQUERQUE, NM 87131-0001
(505) 272-6372
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
G50136
CA
207V00000X
Obstetrics & Gynecology Physician
MD2016-0033
NM
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G50136
CA
207VM0101X
Maternal & Fetal Medicine Physician
MD2016-0033
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G501360
CA
01
AY586Z
MEDICARE PTAN
CA
Enumeration date
07/09/2006
Last updated
01/27/2025
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