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NPI Code Detail

MEDICARE: HUNG THANH VO D.O.

MEDICARE: HUNG THANH VO 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
1207R00000XInternal Medicine Physician02002015AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639135155
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUNG THANH VO D.O.
Provider Business Mailing Address
First Line : 6920 POINTE INVERNESS WAY STE 200
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-7934
Country : US
Telephone Number : 260-479-3513
Fax Number :
Provider Business Practice Location Address
First Line : 2101 DUBOIS DR
Second Line :
City : WARSAW
State : IN
Zip : 46580-3210
Country : US
Telephone Number : 574-267-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2006
Last Update Date : 10/06/2020

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