Phuoc Kim Doan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101034371 Issued in VA

Practice address

1220 N Hudson St
Arlington, VA 22201-5048

Phone

(703) 243-0250

Fax

(703) 243-0148

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1770519639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N HUDSON ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015048",
            "telephone_number": "703-243-0250",
            "fax_number": "703-243-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N HUDSON ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015048",
            "telephone_number": "703-243-0250",
            "fax_number": "703-243-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "PHUOC",
        "middle_name": "KIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101034371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006077536",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divorce and Marital Stress Clinic Inc
• Sarah Bowen Dix, LCSW
• Alison DO
• To-Uyen Thi DO, PHARMD
• Nini Doan, PHARMD
• Sapho Doan, OD
• Vivian Ngoc Doan
• Dodini & Associates: Behavioral Health Partners
• Aaron Dodini, PH.D.
• Mark Doering, LPC

• All providers in Arlington, VA
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.