Provider Demographics
NPI:1841606886
Name:DAO, HUNG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HUNG
Middle Name:
Last Name:DAO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14211 LOTUS LN
Mailing Address - Street 2:APT 511
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-6368
Mailing Address - Country:US
Mailing Address - Phone:703-362-1033
Mailing Address - Fax:
Practice Address - Street 1:20321 SUSAN LESLIE DR
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5682
Practice Address - Country:US
Practice Address - Phone:703-726-8647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202213131183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist