MEDICARE: MATTHEW K DANG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085N0700X	Neuroradiology Physician	45146	AZ
2	2085R0202X	Diagnostic Radiology Physician	201836	LA

General Provider Information

NPI Number	:	1588848857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW K DANG M.D.

Provider Business Mailing Address
First Line	:	6 PALOMA BEND PL
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-2157
Country	:	US
Telephone Number	:	520-579-8379
Fax Number	:

Provider Business Practice Location Address
First Line	:	1845 W ORANGE GROVE RD STE 103
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-1147
Country	:	US
Telephone Number	:	520-230-4900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2007
Last Update Date	:	06/15/2020

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Directions to “ MATTHEW K DANG M.D.” Practice Location

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