# DR. OANH XUAN DAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841499761
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 040894 | GA | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 07/12/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000766884A | GA BETTER HEALTHCARE | GA |
| 05 | — | 000766884A | — | GA |
| 01 | — | 01000556 | AMERIGROUP | GA |
| 01 | — | 103001 | PEACH STATE HEALTH PLAN | GA |
| 01 | — | 303256 | WELLCARE HEALTH PLAN | GA |
| 01 | — | 58-246-4960 | BEECH STREET NETWORK PPO | GA |