Provider Demographics
NPI:1235540162
Name:THACH-SONG, DANNY NGUYEN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:NGUYEN
Last Name:THACH-SONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DANNY
Other - Middle Name:THACH-SONG
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:22505 LANDMARK CT STE 210
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-6502
Mailing Address - Country:US
Mailing Address - Phone:571-612-6600
Mailing Address - Fax:571-612-6601
Practice Address - Street 1:22505 LANDMARK CT STE 210
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20148-6502
Practice Address - Country:US
Practice Address - Phone:571-612-6600
Practice Address - Fax:571-612-6601
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-13
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT209857207Q00000X
390200000X
VA0101263083207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program