Provider Demographics
NPI:1497718662
Name:KAO, JANE MALON (MD)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:MALON
Last Name:KAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 261371
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75026-1371
Mailing Address - Country:US
Mailing Address - Phone:972-566-4299
Mailing Address - Fax:972-566-4210
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:B-320
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2505
Practice Address - Country:US
Practice Address - Phone:972-566-4299
Practice Address - Fax:972-566-4210
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ80072080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Z1133OtherBCBS OF TEXAS
LA1632589OtherLOUISIANA MEDICAID NUMBER
TX10009838OtherAMERIGROUP PROVIDER #
TX3231HMOtherBCBS OF TEXAS GROUP #
TXG20147Medicare UPIN
TX83822FMedicare ID - Type Unspecified