Thao, Umeng David
Thao, Umeng David is an sole proprietor health care provider with primary practice located at 604 Bielenberg Dr Suite 250, Woodbury MN 55125-1414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Thao, Umeng David can be contacted via phone (651) 730-4100.Contact Information
Primary practice address
604 Bielenberg Dr Suite 250
Woodbury MN 55125-1414
Phone: (651) 730-4100
Fax: (651) 730-4107
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 47379 | Minnesota |
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck | 2082S0099X | 47379 | Minnesota |
Profile Details
NPI number | 1487733788 |
---|---|
LBN Legal business name | Thao, Umeng David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 6th, 2006 |
Last updated | Dec 6th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487733788 | NPPES |
Minnesota | MEDICAID | 430093900 |
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