| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AN HOANG DAO | 1619472313 | 2024-11-09 |
An Hoang Dao is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1619472313. Registration indicates An Hoang Dao is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. An Hoang Dao DO |
| Practice Office Address | 11315 BRIDGEPORT WAY SW LAKEWOOD, WA US |
| Practice Office Telephone | 2539851711 |
| Mailing Address | 11315 BRIDGEPORT WAY SW LAKEWOOD, WA 984993004 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 18820 140th Ave SE | Renton, WA 980588001 | 2063553526 |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | OP61355765
WA |