Provider Demographics
NPI:1497747943
Name:KAO, SAMUEL DA-SENG (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:DA-SENG
Last Name:KAO
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 1:450 SUTTER ST
Mailing Address - Street 2:SUITE 1533
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4206
Mailing Address - Country:US
Mailing Address - Phone:415-392-9291
Mailing Address - Fax:415-392-4075
Practice Address - Street 1:450 SUTTER ST
Practice Address - Street 2:SUITE 1533
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4206
Practice Address - Country:US
Practice Address - Phone:415-392-9291
Practice Address - Fax:415-392-4075
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG740930174400000X
CA62182086S0122X
CANA2086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
No174400000XOther Service ProvidersSpecialist
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF63191Medicare UPIN
CA00G740930Medicare ID - Type Unspecified