Provider Demographics
NPI:1275777963
Name:VO, BAO G (MD)
Entity Type:Individual
Prefix:
First Name:BAO
Middle Name:G
Last Name:VO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 N GLEBE RD STE 160
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-5758
Mailing Address - Country:US
Mailing Address - Phone:571-492-3045
Mailing Address - Fax:703-780-0461
Practice Address - Street 1:1005 N GLEBE RD STE 160
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-5758
Practice Address - Country:US
Practice Address - Phone:571-492-3045
Practice Address - Fax:703-780-0461
Is Sole Proprietor?:No
Enumeration Date:2009-04-24
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0074313207R00000X
VA0101255065207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine