Provider Demographics
NPI:1104909944
Name:KAO, DANIEL THOMAS (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:THOMAS
Last Name:KAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 EAST 18TH STREET #1U
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2416
Mailing Address - Country:US
Mailing Address - Phone:212-420-0425
Mailing Address - Fax:212-533-2519
Practice Address - Street 1:130 EAST 18TH STREET #1U
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2416
Practice Address - Country:US
Practice Address - Phone:212-420-0425
Practice Address - Fax:212-533-2519
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY140620207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
50606OtherAETNA HEALTH PLAN
NY00612368Medicaid
P3600400OtherOXFORD HEALTH PLANS
NY17718POtherHIP OF NEW YORK
211997OtherUNITED HEALTHCARE
NY0048067OtherGROUP HEALTH INC
1C0421OtherHEALTHNET
50606OtherAETNA HEALTH PLAN
211997OtherUNITED HEALTHCARE
NY03184Medicare ID - Type UnspecifiedGHI