Provider Demographics
NPI:1861928715
Name:CHAO, GRACE FAITH (MD)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:FAITH
Last Name:CHAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3903 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-2877
Mailing Address - Country:US
Mailing Address - Phone:336-716-9253
Mailing Address - Fax:336-716-5074
Practice Address - Street 1:3903 N ELM ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-2877
Practice Address - Country:US
Practice Address - Phone:336-716-9253
Practice Address - Fax:336-716-5074
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC2025-01832208600000X
OH35.150954208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program