Provider Demographics
NPI:1154586543
Name:MINH DANG M.D. INC.
Entity type:Organization
Organization Name:MINH DANG M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MINH
Authorized Official - Middle Name:NGOC O
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-251-9012
Mailing Address - Street 1:6155 STONERIDGE DR
Mailing Address - Street 2:150
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-3204
Mailing Address - Country:US
Mailing Address - Phone:925-251-9012
Mailing Address - Fax:925-251-9013
Practice Address - Street 1:6155 STONERIDGE DR
Practice Address - Street 2:150
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3204
Practice Address - Country:US
Practice Address - Phone:925-251-9012
Practice Address - Fax:925-251-9013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural DermatologyGroup - Single Specialty
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Single Specialty