Khanh Tan Duong MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KHANH TAN DUONG MD PC

Practice address

9635 Monte Vista Ave Ste 208
Montclair, CA 91763-2235

Phone

(909) 255-0199

Fax

(216) 208-1435

NPI assigned

Jan 13, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Khanh Tan Duong, MDNPI 1225528466

Title

Director

Phone

(909) 255-0199

Specialties & licenses 1

Addresses

Other names 1

• Khanh Tan Duong Medical Office Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khanh Tan Duong, MD

  • Internal Medicine Physician
  • Montclair, CA
  • NPI 1225528466
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1174237150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 MONTE VISTA AVE STE 208",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632235",
            "telephone_number": "909-255-0199",
            "fax_number": "216-208-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 MONTE VISTA AVE STE 208",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632235",
            "telephone_number": "909-255-0199",
            "fax_number": "216-208-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHANH TAN DUONG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "KHANH",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-255-0199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Khanh Tan Duong Medical Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Khai DO MD Inc.
• Adiba Khairi
• Ishrat Khan
• Sadia S Khan, MD
• Suduf Khan
• Shahram Khorrami, M.D.
• Akinkunmi Adekunle Kilanko
• Sharae Nakia Kilgore
• Jessica Jaehee Kim, PA-C
• John Kim, DO

• Primary Care Clinic/Center in Montclair, CA
• Providers in Montclair, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.