Basic Information
Provider Information
NPI: 1538105465
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DU
FirstName: LINH
MiddleName: HOA
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5137 SW 82ND TER
Address2:  
City: GAINESVILLE
State: FL
PostalCode: 326087407
CountryCode: US
TelephoneNumber: 3523734858
FaxNumber:  
Practice Location
Address1: 1601 SW ARCHER RD
Address2:  
City: GAINESVILLE
State: FL
PostalCode: 326081135
CountryCode: US
TelephoneNumber: 3523761611
FaxNumber: 3523794015
Other Information
ProviderEnumerationDate: 06/20/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XME95334FLY Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XMD00043322WAN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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