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NPI Code Detail

MEDICARE: DANIEL DUY KHIEM THAT TON MD

MEDICARE: DANIEL DUY KHIEM THAT TON 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
1207L00000XAnesthesiology PhysicianA83996CA

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 : 1992757694
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL DUY KHIEM THAT TON MD
Provider Business Mailing Address
First Line : 1422 EL CAMINO REAL
Second Line :
City : MENLO PARK
State : CA
Zip : 94025-4110
Country : US
Telephone Number : 650-903-9500
Fax Number : 650-903-9500
Provider Business Practice Location Address
First Line : 1422 EL CAMINO REAL
Second Line :
City : MENLO PARK
State : CA
Zip : 94025-4110
Country : US
Telephone Number : 650-903-9500
Fax Number : 650-903-9500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 03/17/2017

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