Provider Demographics
NPI:1346292117
Name:DUONG, TANYA THUY (PHARMD)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:THUY
Last Name:DUONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:NHU-THUY
Other - Middle Name:THI
Other - Last Name:DUONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5313 HIRSCH CIR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-4321
Mailing Address - Country:US
Mailing Address - Phone:916-230-7060
Mailing Address - Fax:916-874-3620
Practice Address - Street 1:4600 BROADWAY
Practice Address - Street 2:SUITE 2200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-1527
Practice Address - Country:US
Practice Address - Phone:916-874-3621
Practice Address - Fax:916-874-3620
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH47619208U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208U00000XAllopathic & Osteopathic PhysiciansClinical Pharmacology