Provider Demographics
NPI:1437189966
Name:HO, GUSTIN MING SUN (MD)
Entity Type:Individual
Prefix:DR
First Name:GUSTIN
Middle Name:MING SUN
Last Name:HO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:929 CLAY ST
Mailing Address - Street 2:#401
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-1556
Mailing Address - Country:US
Mailing Address - Phone:415-982-4100
Mailing Address - Fax:415-982-6900
Practice Address - Street 1:929 CLAY ST
Practice Address - Street 2:#401
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-1556
Practice Address - Country:US
Practice Address - Phone:415-982-4100
Practice Address - Fax:415-982-6900
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA49169207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A491690OtherPTAN
00A491690OtherPTAN