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DR. JACKY THUVAN DUONG DO NPI 1780693671


NPI Information

NPI: 1780693671
Provider Name: DR. JACKY THUVAN DUONG, DO
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
420 S SAGINAW ST
FLINT, MI
ZIP 48502
Phone: (810) 232-3522
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DR. Jacky Thuvan Duong, DO is an internal medicine in Flint, MI with 23 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Jacky Thuvan Duong, DO NPI is 1780693671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2001

The provider's business location address is:

420 S SAGINAW ST
FLINT, MI
ZIP 48502-803
Phone: (810) 232-3522
Fax: (810) 762-4494

The NPI 1780693671 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 8/21/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine5101014969MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1700H248710OTHERMICHIGANBLUE CROSS GROUP NUMBER
20M69920015MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
3700B512440OTHERMICHIGANBCBS GROUP
4114632687MEDICAIDMICHIGAN
5114632050MEDICAIDMICHIGAN
6N69170125MEDICARE PINMICHIGAN
7114632696MEDICAIDMICHIGAN
8114632060MEDICAIDMICHIGAN
9I15119MEDICARE UPINMICHIGAN
10114632041MEDICAIDMICHIGAN
11ON69170OTHERMICHIGANMEDICARE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.