Individual
DR. GEOFFREY TE JAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10210 N 92ND ST STE 300, SCOTTSDALE, AZ 85258-4525
(480) 882-7750
(808) 825-8384
Mailing address
2500 W UTOPIA RD STE 100, PHOENIX, AZ 85027-4172
(623) 683-4462
(623) 682-4963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002717
NY
207R00000X
Internal Medicine Physician
2007-00528
NC
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
2007-00528
NC
207RC0000X
Cardiovascular Disease Physician
2007-00528
NC
208M00000X
Hospitalist Physician
2007-00528
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145HT
BCBS
NC
01
—
199206
MEDCOST
NC
05
—
1992885545
—
VA
05
—
3810009020
—
WV
05
—
5906676
—
NC
01
—
810599
PARTNERS
NC
01
—
9164064
AETNA
NC
05
—
Q0052M
—
SC
Enumeration date
10/17/2006
Last updated
06/16/2023
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