Provider Demographics
NPI:1356232508
Name:NGO, DANIEL DANG
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:DANG
Last Name:NGO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4013 N EVERETT RD APT I
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-5651
Mailing Address - Country:US
Mailing Address - Phone:260-633-6371
Mailing Address - Fax:260-633-6371
Practice Address - Street 1:4013 N EVERETT RD APT I
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-5651
Practice Address - Country:US
Practice Address - Phone:260-633-6371
Practice Address - Fax:260-633-6371
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program