Chao, Conrad Russell
Chao, Conrad Russell is an individual health care provider with primary practice located at Department Of Obstetrics And Gynecology Hsc 1 University Of New Mexico Msc 10 5580, Albuquerque NM 87131-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Chao, Conrad Russell can be contacted via phone (505) 272-6372.Contact Information
Primary practice address
Department Of Obstetrics And Gynecology Hsc 1 University Of New Mexico Msc 10 5580
Albuquerque NM 87131-0001
Phone: (505) 272-6372
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G50136 | California |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD2016-0033 | New Mexico |
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | MD2016-0033 | New Mexico |
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | G50136 | California |
Profile Details
NPI number | 1619900073 |
---|---|
LBN Legal business name | Chao, Conrad Russell |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 9th, 2006 |
Last updated | Jul 12th, 2024 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619900073 | NPPES |
California | MEDICAID | 00G501360 | |
California | Other | AY586Z |
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