Provider Demographics
NPI:1902020738
Name:HA, TUNG MAI (DO)
Entity Type:Individual
Prefix:
First Name:TUNG
Middle Name:MAI
Last Name:HA
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Gender:M
Credentials:DO
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Mailing Address - Street 1:710 BIRCHWOOD AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1720
Mailing Address - Country:US
Mailing Address - Phone:360-676-0922
Mailing Address - Fax:360-671-4726
Practice Address - Street 1:710 BIRCHWOOD AVE
Practice Address - Street 2:STE 101
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1720
Practice Address - Country:US
Practice Address - Phone:360-676-0922
Practice Address - Fax:360-671-4726
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2011-12-06
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Provider Licenses
StateLicense IDTaxonomies
KS9405501207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery