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Contact Information

K S CLIFFORD C CHAO, MD
622 WEST 168TH STREET
NEW YORK, NY10032-3720
 Phone: 212-305-9987
 Fax: 212-305-0015
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for K S CLIFFORD C CHAO · (Male)

NPI Number 1215038344
Status Active
Credentials MD
Entity Individual
Enumeration date 09/25/2006
Last updated 08/08/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 251104-1
  • TX License # L6319
  • NY Medicaid 03062131
  • TX Medicaid 1529460301
  • TX Other 8G5013 BCBSTX
  • TX Other 920007185 RAIL ROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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