Provider Demographics
NPI:1710258603
Name:ANH P DANG-VU, MD, PC
Entity Type:Organization
Organization Name:ANH P DANG-VU, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANH
Authorized Official - Middle Name:P
Authorized Official - Last Name:DANG-VU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-925-1886
Mailing Address - Street 1:112 ELDEN ST STE E
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4832
Mailing Address - Country:US
Mailing Address - Phone:703-925-1886
Mailing Address - Fax:
Practice Address - Street 1:112 ELDEN ST STE E
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4832
Practice Address - Country:US
Practice Address - Phone:703-925-1886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101046603207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty