Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 0101269638 | VA |
NPI | 1033536735 |
---|---|
Provider Name | Dr. Robert B Chao |
First Address | Baltimore, MD 21297-3174 |
Second Address | Tysons, VA 22182-2683 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2014 |
Last Update Date | 26/04/2021 |