MEDICARE: DR. MANH C DANG M.D.

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	207RX0202X	Medical Oncology Physician	85069	WI
2	207RX0202X	Medical Oncology Physician	00018764	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00307982	OTHER	AL	RR MEDICARE
5	CA0084	OTHER	AL	RR MEDICARE
7	051528442	OTHER	AL	MEDICARE NUMBER

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	510-01658	OTHER	AL	BCBS OF ALABAMA
6	515-28442	OTHER	AL	BCBS OF ALABAMA
8	510-01660	OTHER	AL	BCBS OF ALABAMA
9	510-50070	OTHER	AL	BCBS OF ALABAMA

General Provider Information

NPI Number	:	1780663880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANH C DANG M.D.

Provider Business Mailing Address
First Line	:	PO BOX 18428
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35804-8428
Country	:	US
Telephone Number	:	256-705-4224
Fax Number	:	256-705-4135

Provider Business Practice Location Address
First Line	:	1 HOSPITAL DR SW
Second Line	:	SUITE 400
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-6455
Country	:	US
Telephone Number	:	256-705-4224
Fax Number	:	256-705-4135

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

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	01/30/2025

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Directions to “ DR. MANH C DANG M.D.” Practice Location

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