Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 46890 | TN |
Y | 2080P0202X | Pediatric Cardiologist | ME113301 | FL |
NPI | 1053511543 |
---|---|
Provider Name | Dr. Jason G Ho |
First Address | Raleigh, NC 27604-0010 |
Second Address | Raleigh, NC 27610-1231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2007 |
Last Update Date | 26/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003125539A | (05) | GA |
005914700 | (05) | FL |
14KM2 | BCBSFL (01) | FL |