Healthcare Provider Details

I. General information

NPI: 1336850825
Provider Name (Legal Business Name): NHAN D DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2022
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 N 4TH ST
SAN JOSE CA
95112-5569
US

IV. Provider business mailing address

210 N 4TH ST
SAN JOSE CA
95112-5569
US

V. Phone/Fax

Practice location:
  • Phone: 408-512-4927
  • Fax: 408-550-7433
Mailing address:
  • Phone: 408-512-4927
  • Fax: 408-550-7433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: