Individual
DANIELLA PHUONG-DI DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 KINGS HWY, SHREVEPORT, LA 71103-3950
(318) 212-4639
Mailing address
PO BOX 1684, SHREVEPORT, LA 71165-1684
(318) 424-4008
(855) 230-1466
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
036177056
IL
2085R0001X
Radiation Oncology Physician
Primary
301864
LA
2085R0001X
Radiation Oncology Physician
74019-20
WI
Other
Enumeration date
04/29/2011
Last updated
10/07/2025
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