Most Relevant Information
Provider Data
| NPI Number: | 1003379702 |
| Provider Name: | CHANAN DUONG MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/09/2019 |
| Last Updated: | 09/05/2023 |
Provider Practice Location
611 S MILPITAS BLVD
MILPITAS
CA
950355473
Practice Location Phone/Fax
| Phone: | 4089452933 |
| Fax: |
Provider Mailing Location
700 LAWRENCE EXPY
SANTA CLARA
CA
950515173
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |