Mao, Vivian H.

Mao, Vivian H. is an individual health care provider with primary practice located at 102 Highland Ave Se Ste 104, Roanoke VA 24013-2255. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Mao, Vivian H. can be contacted via phone (540) 343-4423.

Contact Information

Primary practice address
102 Highland Ave Se Ste 104 Roanoke VA 24013-2255
Phone: (540) 343-4423
Fax: (540) 343-0495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101226188 Virginia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101226188 Virginia

Profile Details

NPI number 1548264377
LBN Legal business name Mao, Vivian H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Aug 11th, 2022 - about 2 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548264377 NPPES
Virginia MEDICAID 010415691
Virginia Other VA0103
Virginia Other 040015083
Virginia Other 299658
Virginia Other 452106
Virginia MEDICAID 6502783
Virginia MEDICAID 010415683

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