Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A137125 | CA |
NPI | 1033349485 |
---|---|
Provider Name | Bao Duy Dao |
First Address | Antioch, CA 94509-7319 |
Second Address | Dublin, CA 94568-3036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2009 |
Last Update Date | 08/07/2015 |