Provider Demographics
NPI:1932360179
Name:TRUONG, THACH-GIAO (MD)
Entity Type:Individual
Prefix:DR
First Name:THACH-GIAO
Middle Name:
Last Name:TRUONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 W 168TH ST
Mailing Address - Street 2:BOX 4
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3725
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:TAUSSIG CANCER INSTITUTE 10201 CARNEGIE AVE/CA-60
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-3733
Practice Address - Country:US
Practice Address - Phone:216-445-4623
Practice Address - Fax:216-444-9464
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA112693207RX0202X
OH35.149364207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology