Provider Demographics
NPI:1548488877
Name:CAO, MICHAEL K (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:K
Last Name:CAO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8729 VALLEY BLVD
Mailing Address - Street 2:UNIT A
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-1743
Mailing Address - Country:US
Mailing Address - Phone:626-451-0086
Mailing Address - Fax:626-451-0089
Practice Address - Street 1:8729 VALLEY BLVD
Practice Address - Street 2:UNIT A
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-1743
Practice Address - Country:US
Practice Address - Phone:626-451-0086
Practice Address - Fax:626-451-0089
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2013-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA80802207RC0000X, 207RC0001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
BN359YMedicare PIN