Provider Demographics
NPI:1225009178
Name:HOANG, THANH DUC (DO)
Entity type:Individual
Prefix:DR
First Name:THANH
Middle Name:DUC
Last Name:HOANG
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Gender:M
Credentials:DO
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Mailing Address - Street 1:8901 WISCONSIN AVE
Mailing Address - Street 2:AMERICA BLDG, FLOOR 5, ENDOCRINE CLINIC
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-5165
Mailing Address - Fax:301-295-5170
Practice Address - Street 1:WALTER REED NATIONAL MILITARY MEDICAL CENTER
Practice Address - Street 2:8901 WISCONSIN AVE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-5165
Practice Address - Fax:301-295-5170
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2024-04-17
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Provider Licenses
StateLicense IDTaxonomies
VA0102201771207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD0000Medicare UPIN