Individual
JIANGUO TAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-9416
(888) 882-3990
(434) 243-6499
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101273862
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME84477
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15804
BLUE CROSS BLUE SHIELD
FL
05
—
264642600
—
FL
Enumeration date
07/31/2006
Last updated
04/25/2022
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