Provider Demographics
NPI:1629359591
Name:HO, EMILY T (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:T
Last Name:HO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 6423
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85246-6423
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6111 E ARBOR AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-6059
Practice Address - Country:US
Practice Address - Phone:480-981-1326
Practice Address - Fax:480-981-1445
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ54429208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ267758Medicaid