Provider Demographics
NPI:1588797047
Name:FANG, DAOHE
Entity type:Individual
Prefix:
First Name:DAOHE
Middle Name:
Last Name:FANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 WESTHOLME LN
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-2729
Mailing Address - Country:US
Mailing Address - Phone:410-431-7270
Mailing Address - Fax:410-224-0085
Practice Address - Street 1:108 OLD SOLOMONS ISLAND RD STE U6
Practice Address - Street 2:EASTERN ACUPUNCTURE & HERB CENTER
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3848
Practice Address - Country:US
Practice Address - Phone:410-224-0084
Practice Address - Fax:410-224-0085
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00525171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist