Physician Compare National (NPI:1801204755)

HEALTHCARE PROVIDER: TRIEU DANG DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1801204755
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769743558
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180216002322
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DANG
	Individual professional last name
Provider First Name	TRIEU
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8495 NORMANDY BLVD
	Group Practice or individual's line 1 address
City	JACKSONVILLE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	322216701
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M