Individual
DR. BAO L DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7523
Mailing address
250 N SHADELAND AVE, SUITE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(773) 318-6547
(317) 962-4343
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01070957A
IN
207P00000X
Emergency Medicine Physician
036151901
IL
207P00000X
Emergency Medicine Physician
4301094834
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201069920
—
IN
Enumeration date
02/22/2010
Last updated
10/25/2021
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