Provider Demographics
NPI:1598895559
Name:HO, TIFFANY B (MD)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:B
Last Name:HO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:828 S BASCOM AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2600
Mailing Address - Country:US
Mailing Address - Phone:408-885-5767
Mailing Address - Fax:408-293-4889
Practice Address - Street 1:828 S BASCOM AVE STE 200
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2600
Practice Address - Country:US
Practice Address - Phone:408-885-5767
Practice Address - Fax:408-293-4889
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA0547982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
G21551Medicare UPIN
CA00A547981Medicare PIN