Healthcare Provider Details

I. General information

NPI: 1346674512
Provider Name (Legal Business Name): JULIAN HOANG DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2013
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10550 LINDEN LAKE PLZ STE 250
MANASSAS VA
20109-6495
US

IV. Provider business mailing address

10550 LINDEN LAKE PLZ STE 250
MANASSAS VA
20109-6495
US

V. Phone/Fax

Practice location:
  • Phone: 703-424-2057
  • Fax: 703-424-2056
Mailing address:
  • Phone: 703-424-2057
  • Fax: 703-424-2056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0102204691
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: