Provider Demographics
NPI:1467660738
Name:DO, BAO H (MD)
Entity Type:Individual
Prefix:
First Name:BAO
Middle Name:H
Last Name:DO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5213 MILL CREEK LN
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95136-3610
Mailing Address - Country:US
Mailing Address - Phone:408-693-1231
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-4527
Practice Address - Fax:650-723-1909
Is Sole Proprietor?:No
Enumeration Date:2007-05-19
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAR-78282085R0202X
CAA1041792085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADH639ZMedicare PIN