Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 12794 | MD |
Y | 213EG0000X | General Practice | 12794 | MD |
NPI | 1003388612 |
---|---|
Provider Name | Marie Kao-Hsieh |
First Address | Gaithersburg, MD 20878-5680 |
Second Address | Bethesda, MD 20892-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2018 |
Last Update Date | 20/12/2018 |