MEDICARE: DR. VIVIAN HOANG MD

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
1	2084N0400X	Neurology Physician	54682	AZ
2	2084N0400X	Neurology Physician	123452	OH
3	2084N0400X	Neurology Physician	D77450	MD
4	2084N0400X	Neurology Physician	50714	TN
5	2084N0400X	Neurology Physician	MD-41596	IA
6	2084N0400X	Neurology Physician	01074550A	IN
7	2084N0400X	Neurology Physician	036134305	IL
8	2084N0400X	Neurology Physician	071366	GA
9	2084N0400X	Neurology Physician	ME118484	FL
10	2084N0400X	Neurology Physician	SP.93	AL
11	2084N0400X	Neurology Physician	TM2013-0872	NM
12	2084N0400X	Neurology Physician	A115249	CA
13	2084N0400X	Neurology Physician	16514	NH
14	2084N0400X	Neurology Physician	MD37154	SC
15	2084N0400X	Neurology Physician	P8251	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1699959346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIVIAN HOANG MD

Provider Business Mailing Address
First Line	:	336 22ND AVE N
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1844
Country	:	US
Telephone Number	:	615-346-8182
Fax Number	:	615-823-8948

Provider Business Practice Location Address
First Line	:	6154 BELMONT AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-3622
Country	:	US
Telephone Number	:	615-346-8182
Fax Number	:	615-829-8970

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2007
Last Update Date	:	10/18/2022

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Directions to “ DR. VIVIAN HOANG MD” Practice Location

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