Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 20657 | TN |
NPI | 1013983709 |
---|---|
Provider Name | Dr. Michael M Dao |
First Address | Clarksville, TN 37043-9309 |
Second Address | Nashville, TN 37217-2222 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 20/01/2015 |