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NPI Code Detail

MEDICARE: DR. HIEU TRONG HUYNH D.O.

MEDICARE: DR. HIEU TRONG HUYNH D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician0102206487VA
2207RC0001XClinical Cardiac Electrophysiology Physician0102206487VA

General Provider Information

NPI Number : 1366782377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HIEU TRONG HUYNH D.O.
Provider Business Mailing Address
First Line : 445 CHARLES DIMMOCK PKWY
Second Line : STE 100
City : COLONIAL HEIGHTS
State : VA
Zip : 23834
Country : US
Telephone Number : 804-520-1764
Fax Number :
Provider Business Practice Location Address
First Line : 445 CHARLES H DIMMOCK PKWY STE 100
Second Line :
City : COLONIAL HEIGHTS
State : VA
Zip : 23834-2990
Country : US
Telephone Number : 804-520-1764
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2013
Last Update Date : 03/26/2024

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