Provider Demographics
NPI:1053612838
Name:TRANG T. VO-NGUYEN, MD, LLC
Entity type:Organization
Organization Name:TRANG T. VO-NGUYEN, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TRANG
Authorized Official - Middle Name:THUY
Authorized Official - Last Name:VO-NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-750-6800
Mailing Address - Street 1:6800 LITTLE RIVER TPKE
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3506
Mailing Address - Country:US
Mailing Address - Phone:703-750-6800
Mailing Address - Fax:703-354-4501
Practice Address - Street 1:6800 LITTLE RIVER TPKE
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3506
Practice Address - Country:US
Practice Address - Phone:703-750-6800
Practice Address - Fax:703-354-4501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101246352261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center