Basic Information
| Provider Information | |||||||||
| NPI: | 1407058076 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAO | ||||||||
| FirstName: | ROY | ||||||||
| MiddleName: | LEE JOE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 HARVARD ST SE | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554550363 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6122733000 | ||||||||
| FaxNumber: | 3107942104 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 HARVARD ST SE | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 55455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6122733000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2007 | ||||||||
| LastUpdateDate: | 06/11/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A119672 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 63951 | MN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | A119672 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 63951 | MN | N | Allopathic & Osteopathic Physicians | Pediatrics | 2080H0002X | A119672 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics | Hospice and Palliative Medicine | 2080P0207X | A119672 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Hematology-Oncology | 2080P0207X | 63951 | MN | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Hematology-Oncology | 207RH0000X | 63951 | MN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology |
No ID Information.