Provider Demographics
NPI:1275875551
Name:DANG, DONG VIEN (MD)
Entity Type:Individual
Prefix:DR
First Name:DONG
Middle Name:VIEN
Last Name:DANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3985 STEVE REYNOLDS BLVD STE K102
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-3099
Mailing Address - Country:US
Mailing Address - Phone:770-277-6374
Mailing Address - Fax:005-214-3828
Practice Address - Street 1:1000 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-7694
Practice Address - Country:US
Practice Address - Phone:678-312-2418
Practice Address - Fax:678-312-2434
Is Sole Proprietor?:No
Enumeration Date:2013-03-25
Last Update Date:2023-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA89626207R00000X, 207RC0200X, 207RS0012X, 207RP1001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program