Hoan B Dang (NPI# 1063777811, PAC ID# 4385952712) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1063777811 |
| PAC ID by PECOS | 4385952712 |
| Professional Enrollment ID | I20170105000051 |
| Full Name | Hoan B Dang |
| Organization Legal Name | SHADY GROVE PODIATRY LLC |
| Address |
16220 Frederick Rd Suite 427 Gaithersburg MD 20877-4005 |
| Phone Number | 3019482995 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1052360534 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210057 | ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 16220 Frederick Rd, Suite 427, Gaithersburg, MD 20877-4005 | 3019482995 | SHADY GROVE PODIATRY LLC |
| Organization Legal Name | SHADY GROVE PODIATRY LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amir D Assili | Podiatry | Shady Grove Podiatry LLC | 16220 Frederick Rd, Suite 427, Gaithersburg, MD 20877-4005 |
| David Baek | Podiatry | Shady Grove Podiatry LLC | 16220 Frederick Rd, Suite 427, Gaithersburg, MD 20877-4005 |
| Chris Serlo | Podiatry | Shady Grove Podiatry LLC | 16220 Frederick Rd, Suite 427, Gaithersburg, MD 20877-4005 |
| Street Address |
16220 FREDERICK RD SUITE 427 |
| City | GAITHERSBURG |
| State | MD |
| Zip | 20877-4005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David S Weisman | Psychologist, Clinical | 16220 Frederick Rd, Suite 512, Gaithersburg, MD 20877-4022 | |
| Amir D Assili | Podiatry | Shady Grove Podiatry LLC | 16220 Frederick Rd, Suite 427, Gaithersburg, MD 20877-4005 |
| Bronwen Elizabeth Williams | Psychologist, Clinical | 16220 Frederick Rd, Suite 512, Gaithersburg, MD 20877-4088 | |
| Esther A Forrest | Clinical Social Worker | Child Center and Adult Services Inc | 16220 Frederick Rd, Suite 502, Gaithersburg, MD 20877-4022 |
| Emma Ridgway | Clinical Social Worker | Child Center and Adult Services Inc | 16220 Frederick Rd, Suite 502, Gaithersburg, MD 20877-4022 |
| Kathleen Lunsford | Clinical Social Worker | Child Center and Adult Services Inc | 16220 Frederick Rd, Suite 502, Gaithersburg, MD 20877-4022 |
| Baolang Liao | Internal Medicine | 16220 Frederick Rd, Suite 418, Gaithersburg, MD 20877-4021 | |
| Mikhail Gendel | Family Medicine | 16220 Frederick Rd, Suite 200, Gaithersburg, MD 20877-4086 | |
| James M Anchors | Internal Medicine | 16220 Frederick Rd, Suite 210, Gaithersburg, MD 20877-4017 | |
| Randee Weiss | Clinical Social Worker | Child Center and Adult Services Inc | 16220 Frederick Rd, Suite 502, Gaithersburg, MD 20877-4022 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel C York | Psychologist, Clinical | 413 Washington Grove Lane, Gaithersburg, MD 20877-1182 | |
| Shani Cerritos | Clinical Social Worker | Family Care Associates | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 |
| Memouna M Foudjou | Nurse Practitioner | Family Care Associates | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 |
| Kelsey O'donnell | Clinical Social Worker | Family Care Associates | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 |
| Olga Varnacheva | Nurse Practitioner | Family Care Associates | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 |
| Caleb Adu | Clinical Social Worker | Family Care Associates | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 |
| Michelle H Tan | Internal Medicine | 600 S Frederick Ave, Suite 302, Gaithersburg, MD 20877-1277 | |
| Cynthia F London | Clinical Social Worker | 604 S Frederick Ave, Suite 215, Gaithersburg, MD 20877-1282 | |
| Harold M Graves Iii | Clinical Social Worker | 604 S Frederick Ave, Suite 213, Gaithersburg, MD 20877-1282 | |
| Andrea Quismorio | Clinical Social Worker | Ramesh Kumar Thapar Mdpa | 604 S Frederick Ave, Suite 213, Gaithersburg, MD 20877-1282 |
| Find all physicians in zip 20877 | |||
| City | GAITHERSBURG |
| Zip Code | 20877 |
| Specialty | PODIATRY |
| City + Specialty | GAITHERSBURG + PODIATRY |
Please comment or provide details below to improve the information on Hoan B Dang.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.