Provider Demographics
NPI:1982710687
Name:TON, HUYANH THAT (MD)
Entity Type:Individual
Prefix:
First Name:HUYANH
Middle Name:THAT
Last Name:TON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7505 NEW HAMPSHIRE AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6972
Mailing Address - Country:US
Mailing Address - Phone:301-445-4100
Mailing Address - Fax:301-445-2167
Practice Address - Street 1:7505 NEW HAMPSHIRE AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6972
Practice Address - Country:US
Practice Address - Phone:301-445-4100
Practice Address - Fax:301-445-2167
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD54486207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM48028OtherCDS
MD419500100Medicaid
G94306Medicare UPIN
MD490351Medicare ID - Type Unspecified