Individual
HUA GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6530 FARMINGTON RD, OPHTHALMOLOGY, WEST BLOOMFIELD, MI 48322
(248) 661-5100
(248) 661-5090
Mailing address
6530 FARMINGTON RD, 300, WEST BLOOMFIELD, MI 48322-3216
(248) 661-5100
(248) 661-5090
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01051585A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000301691
ANTHEM
IN
05
—
200432130
—
IN
Enumeration date
07/29/2005
Last updated
08/27/2012
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