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NPI Code Detail

MEDICARE: DR. TUNG VAN DAO DPM, MS

MEDICARE: DR. TUNG VAN DAO DPM, MS
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
1213ES0103XFoot & Ankle Surgery PodiatristE5927CA
2213ES0103XFoot & Ankle Surgery Podiatrist36.004148OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
136.004148OTHEROHOHIO STATE MEDICAL LICENSE #

General Provider Information

NPI Number : 1881222636
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TUNG VAN DAO DPM, MS
Provider Business Mailing Address
First Line : 6480 HARRISON AVE STE 201
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-7961
Country : US
Telephone Number : 513-818-0043
Fax Number : 513-964-9575
Provider Business Practice Location Address
First Line : 2750 NEWARK GRANVILLE RD
Second Line :
City : GRANVILLE
State : OH
Zip : 43023-9142
Country : US
Telephone Number : 740-788-9220
Fax Number : 740-788-9226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2020
Last Update Date : 08/11/2024

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