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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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 1487733788 NPPES
Minnesota MEDICAID 430093900

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