Provider Demographics
NPI:1609973551
Name:DANG, NGA T (MD)
Entity Type:Individual
Prefix:DR
First Name:NGA
Middle Name:T
Last Name:DANG
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3200 KEARNEY ST
Mailing Address - Street 2:OB/GYN DEPT
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2299
Mailing Address - Country:US
Mailing Address - Phone:510-490-1222
Mailing Address - Fax:510-498-2133
Practice Address - Street 1:5445 MERIDIAN MARKS RD NE
Practice Address - Street 2:SUITE 350
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-4763
Practice Address - Country:US
Practice Address - Phone:404-252-5196
Practice Address - Fax:404-252-2414
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-08-16
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Provider Licenses
StateLicense IDTaxonomies
CAC52542207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH15481Medicare UPIN
GA16BBBSSMedicare ID - Type UnspecifiedOB/GYN