MEDICARE: LINDA THANH VONG D.O.

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	207R00000X	Internal Medicine Physician	T0973	TX
2	207R00000X	Internal Medicine Physician	34.012095	OH
3	208M00000X	Hospitalist Physician	34.012095	OH

General Provider Information

NPI Number	:	1922341957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA THANH VONG D.O.

Provider Business Mailing Address
First Line	:	PO BOX 7527
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-0727
Country	:	US
Telephone Number	:	614-544-1976
Fax Number	:	614-544-1981

Provider Business Practice Location Address
First Line	:	5109 W BROAD ST LOWR LEVEL
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1648
Country	:	US
Telephone Number	:	614-544-1976
Fax Number	:	614-544-1981

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

Provider Enumeration Date	:	03/27/2013
Last Update Date	:	04/21/2026

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Directions to “ LINDA THANH VONG D.O.” Practice Location

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