Provider Demographics
NPI:1184145237
Name:GAO, GE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GE
Middle Name:
Last Name:GAO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12711 W 118TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1309
Mailing Address - Country:US
Mailing Address - Phone:816-517-9014
Mailing Address - Fax:
Practice Address - Street 1:10126 W 119TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-1461
Practice Address - Country:US
Practice Address - Phone:913-286-4176
Practice Address - Fax:855-261-3371
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy