Provider Demographics
NPI:1134168750
Name:HO, BETTY (MD)
Entity type:Individual
Prefix:DR
First Name:BETTY
Middle Name:
Last Name:HO
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:PO BOX 7125
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-7125
Mailing Address - Country:US
Mailing Address - Phone:650-365-2911
Mailing Address - Fax:650-299-1255
Practice Address - Street 1:2900 WHIPPLE AVE
Practice Address - Street 2:STE 245
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-2851
Practice Address - Country:US
Practice Address - Phone:650-365-2911
Practice Address - Fax:650-299-1255
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2016-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG68661207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA100014081OtherMEDICARE RAILROAD
CA00G686610Medicare PIN
G07342Medicare UPIN