Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | D0061772 | MD |
NPI | 1003811225 |
---|---|
Provider Name | Dr. Tung N Dao |
First Address | Baltimore, MD 21211-2803 |
Second Address | Bethesda, MD 20817-1830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 09/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
096500601 | (05) | MD |
122018 | AETNA (01) | MD |
12470012 | BCBS (01) | MD |
153382 | MDIPA (01) | MD |
560976 | NCPPO (01) | MD |
H32710 | (02) | MD |