| Minh Cong Dao | |
|
4657 Alcee Fortier Blvd Suite A New Orleans LA 70129-2140 | |
| (504) 254-4011 | |
| Not Available |
| Full Name | Minh Cong Dao |
|---|---|
| Speciality | Family Medicine |
| Location | 4657 Alcee Fortier Blvd, New Orleans, Louisiana |
| Authorized Official Name and Position | Patricia Morris (BILLING OFFICE MANAGER) |
| Authorized Official Contact | 9857269333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minh Cong Dao 4657 Alcee Fortier Blvd Suite A New Orleans LA 70129-2140 Ph: (504) 254-4011 | Minh Cong Dao 4657 Alcee Fortier Blvd Suite A New Orleans LA 70129-2140 Ph: (504) 254-4011 |
| NPI Number | 1194998500 |
|---|---|
| Provider Enumeration Date | 04/07/2008 |
| Last Update Date | 08/15/2008 |
| Medicare PECOS PAC ID | 3375621964 |
|---|---|
| Medicare Enrollment ID | O20080423000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194998500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Minh Cong Dao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821050089 PECOS PAC ID: 2567568090 Enrollment ID: I20070430000588 |
| Provider Name | Kimberly J Dao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346549524 PECOS PAC ID: 2365663739 Enrollment ID: I20141028002290 |
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