| Nancy J Cao Md Phd Pllc | |
|
25865 W 12 Mile Rd Suite 110 Southfield MI 48034-1817 | |
| (248) 223-5990 | |
| (248) 223-5993 |
| Full Name | Nancy J Cao Md Phd Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 25865 W 12 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Nancy J Cao (OWNER) |
| Authorized Official Contact | 2482235990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy J Cao Md Phd Pllc 25865 W 12 Mile Rd Suite 110 Southfield MI 48034-1817 Ph: (248) 223-5990 | Nancy J Cao Md Phd Pllc 25865 W 12 Mile Rd Suite 110 Southfield MI 48034-1817 Ph: (248) 223-5990 |
| NPI Number | 1811108681 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 2062503261 |
|---|---|
| Medicare Enrollment ID | O20070802000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811108681 | NPI | - | NPPES |
| 1306360251 | Other | MI | BLUE CARE NETWORK |
| 1306360251 | Other | MI | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301076405 (Michigan) | Primary |
| Provider Name | Nancy J Cao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194703207 PECOS PAC ID: 1153353149 Enrollment ID: I20050910000241 |
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