Healthcare Provider Details

I. General information

NPI: 1699515866
Provider Name (Legal Business Name): DR. DUYEN KY PHAM HUA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANA KY PHAM HUA MD

II. Dates (important events)

Enumeration Date: 05/27/2024
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE
BETHESDA MD
20889-0004
US

IV. Provider business mailing address

8901 WISCONSIN AVE BLDG 19
BETHESDA MD
20889-0004
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-7766
  • Fax: 301-295-5164
Mailing address:
  • Phone: 301-295-7766
  • Fax: 301-295-5164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0101287226
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: