MEDICARE: DR. AMY MINH-TRAN DUONG ND, LAC

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	171100000X	Acupuncturist	0121001110	VA

General Provider Information

NPI Number	:	1861895849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY MINH-TRAN DUONG ND, LAC

Provider Business Mailing Address
First Line	:	3249 VICTOR CIR
Second Line	:
City	:	ANNANDALE
State	:	VA
Zip	:	22003-1144
Country	:	US
Telephone Number	:	703-216-4752
Fax Number	:

Provider Business Practice Location Address
First Line	:	8500 EXECUTIVE PARK AVE STE 308
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22031-2228
Country	:	US
Telephone Number	:	703-216-4752
Fax Number	:

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

Provider Enumeration Date	:	10/03/2014
Last Update Date	:	04/29/2025

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