Provider Demographics
NPI:1609091602
Name:CHAO, MIMI TZU-PING (MD)
Entity type:Individual
Prefix:
First Name:MIMI
Middle Name:TZU-PING
Last Name:CHAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1432 S DOBSON RD STE 301
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-4773
Mailing Address - Country:US
Mailing Address - Phone:480-412-7120
Mailing Address - Fax:480-412-5611
Practice Address - Street 1:1432 S DOBSON RD STE 301
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4773
Practice Address - Country:US
Practice Address - Phone:480-412-7120
Practice Address - Fax:480-412-5611
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2025-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA104105208200000X
AZ74012208200000X
PAMD431060208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery