Provider Demographics
NPI:1841220845
Name:HO, NATHAN H (DO)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:H
Last Name:HO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:PO BOX 4390
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89702-4390
Mailing Address - Country:US
Mailing Address - Phone:775-445-7650
Mailing Address - Fax:775-882-4206
Practice Address - Street 1:1470 MEDICAL PARKWAY
Practice Address - Street 2:SUITE 160
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-4636
Practice Address - Country:US
Practice Address - Phone:775-445-7650
Practice Address - Fax:775-882-4206
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A9528207R00000X
OKBH9671303207RC0000X, 207RI0011X
NVDO1616207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVFH557ZMedicare PIN