Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 040296 | CT |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 200165 | NY |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | G88334 | CA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | G88334 | CA |
NPI | 1760579718 |
---|---|
Provider Name | Dr. Philip T. Ho |
First Address | Los Gatos, CA 95032-1442 |
Second Address | Los Gatos, CA 95032-1442 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 19/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00-140-2966 | (05) | CT |
040296 | CT STATE MEDICAL LICENSE (01) | CT |
200165 | NY STATE MEDICAL LICENSE (01) | NY |
43641 | AZ MEDICAL LICENSE (01) | AZ |
G88334 | CA MEDICAL LICENSE (01) | CA |
H38951 | (02) | CT |