Provider Demographics
NPI:1932396710
Name:DOAN, MELINA TRUNGHAU (MD)
Entity Type:Individual
Prefix:
First Name:MELINA
Middle Name:TRUNGHAU
Last Name:DOAN
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 1:401 CORBETT ST STE 240
Mailing Address - Street 2:
Mailing Address - City:BELLEAIR
Mailing Address - State:FL
Mailing Address - Zip Code:33756-7302
Mailing Address - Country:US
Mailing Address - Phone:727-298-1721
Mailing Address - Fax:727-298-1723
Practice Address - Street 1:401 CORBETT ST STE 240
Practice Address - Street 2:
Practice Address - City:BELLEAIR
Practice Address - State:FL
Practice Address - Zip Code:33756-7302
Practice Address - Country:US
Practice Address - Phone:727-298-1721
Practice Address - Fax:727-298-1723
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99877207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL280363100Medicaid
FL280363100Medicaid