Organization
BAO DINH DO PC
Active
Organization
BAO DINH DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAO T DINH MD (OWNER/PROVIDER)
(571) 340-2989
Entity
Organization
Contact information
Practice address
3301 WOODBURN RD STE 311, ANNANDALE, VA 22003-1229
(703) 828-0048
(703) 574-8649
Mailing address
3301 WOODBURN RD STE 311, ANNANDALE, VA 22003-1229
(703) 828-0048
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144704040
—
VA
Enumeration date
09/18/2018
Last updated
12/05/2018
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