Provider Demographics
NPI:1053856963
Name:HO, TIFFANY CHRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:CHRISTINA
Last Name:HO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:CB 8096
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-362-3937
Mailing Address - Fax:314-362-3725
Practice Address - Street 1:517 S EUCLID AVE
Practice Address - Street 2:DEPT OPTHALMOLOGY, 1ST FL
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1007
Practice Address - Country:US
Practice Address - Phone:314-362-3431
Practice Address - Fax:314-362-6564
Is Sole Proprietor?:No
Enumeration Date:2016-12-31
Last Update Date:2021-11-16
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Provider Licenses
StateLicense IDTaxonomies
MO2020015136207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200084477Medicaid