Provider Demographics
NPI:1285642108
Name:DUONG, CHI Q (DO)
Entity Type:Individual
Prefix:DR
First Name:CHI
Middle Name:Q
Last Name:DUONG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:7150 E CAMELBACK RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-1200
Mailing Address - Country:US
Mailing Address - Phone:602-218-4072
Mailing Address - Fax:602-218-4076
Practice Address - Street 1:7150 E CAMELBACK RD
Practice Address - Street 2:SUITE 105
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-1200
Practice Address - Country:US
Practice Address - Phone:602-218-4072
Practice Address - Fax:602-218-4076
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2015-07-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ3424207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
3424OtherAZ LICENSE
110213980OtherRR MEDICARE
110213980OtherRR MEDICARE
H00069Medicare UPIN
AZZ63516Medicare PIN