Provider Demographics
NPI:1629171137
Name:DINH, ANTHONY TUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:TUNG
Last Name:DINH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:217 TIMBER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3647
Mailing Address - Country:US
Mailing Address - Phone:304-252-5746
Mailing Address - Fax:681-207-1811
Practice Address - Street 1:2401 S KANAWHA ST
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-6905
Practice Address - Country:US
Practice Address - Phone:304-252-5746
Practice Address - Fax:681-207-1811
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV13450207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0084513000Medicaid
DI0559081Medicare ID - Type Unspecified
WV0084513000Medicaid