National Provider Identifier

Han Tony Gao, M.D.

Han Tony Gao, M.D. is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Rochester, NY and a listed phone number of (585) 922-5067.

NPI 1023495330Rochester, NYEmergency Medicine Physician

Profile Overview

NPI
1023495330
Provider Type
Individual
Primary Specialty
Emergency Medicine Physician
Enumeration Date
May 06, 2015
Last Updated
January 27, 2025

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3011

Phone: (585) 922-5067

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Emergency Medicine Physician (207P00000X)
  • Emergency Medicine Physician (207P00000X)
Full Record
NPI
1023495330
Entity Type
Individual
Last Name
Gao
First Name
Han
Middle Name
Tony
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3011
Practice Country
US
Practice Phone
(585) 922-5067
Enumeration Date
May 06, 2015
Last Updated
January 27, 2025
Sex
Male
Sole Proprietor
No
Certification Date
January 27, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Emergency Medicine Physician (207P00000X), Emergency Medicine Physician (207P00000X)
Other Identifiers
411837401 (TX), 411837402 (TX, Cshcn Medicaid)