Provider Demographics
NPI:1649080359
Name:DOAN, DANNY CHU
Entity type:Individual
Prefix:
First Name:DANNY
Middle Name:CHU
Last Name:DOAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 E BELL RD # 120
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-3081
Mailing Address - Country:US
Mailing Address - Phone:602-668-0560
Mailing Address - Fax:
Practice Address - Street 1:1275 E BELL RD # 120
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-3081
Practice Address - Country:US
Practice Address - Phone:602-668-0560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-14
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ50600526211D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes211D00000XPodiatric Medicine & Surgery Service ProvidersAssistant, PodiatricGroup - Single Specialty