Duong Minh Duong,MD,PS

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD00017755 Issued in WA

Legal business name

DUONG MINH DUONG,MD,PS

Practice address

4901 108TH St SW
Lakewood, WA 98499-3724

Phone

(253) 589-6484

Fax

(253) 984-1079

NPI assigned

Jan 4, 2011

Last updated

Sep 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Duong Minh Duong, MDNPI 1831154293

Title

President

Phone

(206) 276-6444

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Duong M Duong, MD

  • Internal Medicine Physician
  • Lakewood, WA
  • NPI 1831154293
  NPD Authorized official

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1558665661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98886",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984968886",
            "telephone_number": "253-589-6484",
            "fax_number": "253-984-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 108TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993724",
            "telephone_number": "253-589-6484",
            "fax_number": "253-984-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUONG MINH DUONG,MD,PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "DUONG",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-276-6444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MD00017755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047669",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raichle Dunkeld, LMT
• Renata Elizabeth Dunkle, M.S.,LMP.,R.C.
• Athena Dunn
• Randy Lee Dunn, MA
• Chadwick Abel Dunning, PSY.D.
• Duong M Duong, MD
• Josephine Duong
• Shaliyah Dupar
• Chani L Dupuis, RN
• Julie Louise Dura

• Clinic/Center in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.