Provider Demographics
NPI:1316332455
Name:DAO, DAVID THANH DUC (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:THANH DUC
Last Name:DAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8519 HUNTSPRING DR
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4772
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9114 PHILADELPHIA RD STE 310
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4350
Practice Address - Country:US
Practice Address - Phone:410-686-3000
Practice Address - Fax:443-451-8502
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-06
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0087655207WX0107X, 207WX0107X
LA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist