Basic Information
Provider Information
NPI: 1164590519
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAU
FirstName: HONG HANH
MiddleName: T
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
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Mailing Information
Address1: 2101 EAST JEFFERSON STREET
Address2: PPQA MEDICARE COMPLIANCE UNIT 6W ATTN THERESA BROOKS
City: ROCKVILLE
State: MD
PostalCode: 208524908
CountryCode: US
TelephoneNumber: 3018166660
FaxNumber: 3018166308
Practice Location
Address1: 19450 DEERFIELD AVE STE 300
Address2: LOUDOUN MEDICAL CENTER
City: LANSDOWNE
State: VA
PostalCode: 201766821
CountryCode: US
TelephoneNumber: 7037262100
FaxNumber: 7037264550
Other Information
ProviderEnumerationDate: 12/02/2006
LastUpdateDate: 11/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X0101055894VAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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