Provider Demographics
NPI:1821070608
Name:GAO, PATRICIA GEIGER (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:GEIGER
Last Name:GAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PEIQING
Other - Middle Name:
Other - Last Name:GAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:203 HOSPITAL DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-6904
Mailing Address - Country:US
Mailing Address - Phone:410-760-7333
Mailing Address - Fax:410-760-7553
Practice Address - Street 1:203 HOSPITAL DR
Practice Address - Street 2:SUITE 210
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-6904
Practice Address - Country:US
Practice Address - Phone:410-760-7333
Practice Address - Fax:410-760-7553
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056046207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH32093Medicare UPIN