Dr Imaim Neng Thao, PHD, LAC is a
Acupuncturist based in Ham Lake, Minnesota. Dr Imaim Neng Thao is licensed to practice in Minnesota (license number 1324) and his current practice location is
1444 147th Ave Ne, Ham Lake, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(763) 208-6340.
NPI number for Dr Imaim Neng Thao is 1760787550 and his current mailing address is 15206 Hastings St Ne, Ham Lake, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760787550.
Healthcare Provider's Profile
| Full Name | Dr Imaim Neng Thao |
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| Gender | Male |
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| Speciality | Acupuncturist |
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| Location | 1444 147th Ave Ne, Ham Lake, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760787550
- Provider Enumeration Date: 01/25/2011
- Last Update Date: 01/25/2011
Medical Identifiers
Medical identifiers for Dr Imaim Neng Thao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760787550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 1324 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Imaim Neng Thao is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Imaim Neng Thao, PHD, LAC
15206 Hastings St Ne,
Ham Lake, MN 55304-6232
Ph: (763) 208-6340 | Dr Imaim Neng Thao, PHD, LAC
1444 147th Ave Ne,
Ham Lake, MN 55304-4971
Ph: (763) 208-6340 |
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