Provider Demographics
NPI:1336535814
Name:DAO, SANG
Entity Type:Individual
Prefix:
First Name:SANG
Middle Name:
Last Name:DAO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 DULUTH HWY
Mailing Address - Street 2:SUITE 501
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-3328
Mailing Address - Country:US
Mailing Address - Phone:678-312-0400
Mailing Address - Fax:678-312-0423
Practice Address - Street 1:665 DULUTH HWY
Practice Address - Street 2:SUITE 501
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-3328
Practice Address - Country:US
Practice Address - Phone:678-312-0400
Practice Address - Fax:678-312-0423
Is Sole Proprietor?:No
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program