Individual
DR. RENATO DOCTOR DAING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2616 SHERWOOD HALL LN, SUITE 404, ALEXANDRIA, VA 22306-3100
(703) 360-0300
(703) 799-7074
Mailing address
2616 SHERWOOD HALL LN, SUITE 404, ALEXANDRIA, VA 22306-3100
(703) 360-0300
(703) 799-7074
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0101233629
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010039916
—
VA
01
—
188622
ANTHEM HEALTHKEEPERS PLUS
VA
01
—
283728
AMERIGROUP
VA
Enumeration date
01/13/2007
Last updated
07/09/2007
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