Individual
PHILIP BAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1739
(833) 274-8326
(260) 266-7935
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01088954A
IN
2086X0206X
Surgical Oncology Physician
123284
FL
2086X0206X
Surgical Oncology Physician
ME123284
FL
Other
Enumeration date
02/09/2007
Last updated
03/23/2023
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