Provider Demographics
NPI:1104336486
Name:DOAN, JEAN-LUC THANH (PA-C)
Entity type:Individual
Prefix:
First Name:JEAN-LUC
Middle Name:THANH
Last Name:DOAN
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Gender:
Credentials:PA-C
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Mailing Address - Street 1:561 GATES AVE APT 5A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-1280
Mailing Address - Country:US
Mailing Address - Phone:714-462-7529
Mailing Address - Fax:
Practice Address - Street 1:1001 G ST NW STE 200E
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-4546
Practice Address - Country:US
Practice Address - Phone:888-663-6331
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2025-03-17
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant