Healthcare Provider Details

I. General information

NPI: 1396936571
Provider Name (Legal Business Name): MINH DUY DAO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 10/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 W 1ST AVE
TOPPENISH WA
98948-1564
US

IV. Provider business mailing address

510 W 1ST AVE
TOPPENISH WA
98948-1564
US

V. Phone/Fax

Practice location:
  • Phone: 509-865-5600
  • Fax: 509-865-5783
Mailing address:
  • Phone: 509-865-5600
  • Fax: 509-865-5783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number12121
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberP0366
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD60298859
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: