Individual
DEQI TAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2156 S OAKDALE DR, BLOOMINGTON, IN 47403-3012
(774) 297-8261
Mailing address
2156 S OAKDALE DR, BLOOMINGTON, IN 47403-3012
(774) 297-8261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10005315A
IN
363A00000X
Physician Assistant
Primary
—
IN
Other
Enumeration date
04/21/2026
Last updated
05/08/2026
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