Healthcare Provider Details

I. General information

NPI: 1003811225
Provider Name (Legal Business Name): TUNG N DAO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 05/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 ROCKLEDGE DR STE 200
BETHESDA MD
20817-1830
US

IV. Provider business mailing address

3100 WYMAN PARK DR
BALTIMORE MD
21211-2803
US

V. Phone/Fax

Practice location:
  • Phone: 301-897-5301
  • Fax: 301-564-4289
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD0061772
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: