Provider Demographics
NPI:1932251121
Name:HO, NICOLA C (MD)
Entity Type:Individual
Prefix:DR
First Name:NICOLA
Middle Name:C
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 1:8315 NORTH BROOK LANE
Mailing Address - Street 2:#604
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2648
Mailing Address - Country:US
Mailing Address - Phone:301-652-0518
Mailing Address - Fax:301-652-0518
Practice Address - Street 1:8315 NORTH BROOK LANE
Practice Address - Street 2:#604
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2648
Practice Address - Country:US
Practice Address - Phone:301-652-0518
Practice Address - Fax:301-652-0518
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0058002207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)