Duong, Thao Thi Thu

Duong, Thao Thi Thu is an individual health care provider with primary practice located at 751 S Bascom Ave P.M&R Department, San Jose CA 95128-2604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Duong, Thao Thi Thu can be contacted via phone (408) 885-2000.

Contact Information

Primary practice address
751 S Bascom Ave P.M&R Department San Jose CA 95128-2604
Phone: (408) 885-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X G58995 California

Profile Details

NPI number 1649232729
LBN Legal business name Duong, Thao Thi Thu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Sep 12th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649232729 NPPES
California MEDICAID 00G589950

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