Provider Demographics
NPI:1215666466
Name:DOAN, QUOCNAM JOHN (DPM)
Entity type:Individual
Prefix:DR
First Name:QUOCNAM
Middle Name:JOHN
Last Name:DOAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 HARMAN ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237-4804
Mailing Address - Country:US
Mailing Address - Phone:210-771-2050
Mailing Address - Fax:
Practice Address - Street 1:452 HARMAN ST UNIT 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-4804
Practice Address - Country:US
Practice Address - Phone:210-771-2050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-05
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program