Dan Vongtama is a Radiation Oncology in Stockton, California. Dan Vongtama practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Dan Vongtama is 1245434083. The last update date is 2022-10-21.
Dan Vongtama's current location address is 4722 Quail Lakes Dr, Stockton, California. You can contact this provider via phone number 2094721848 and fax number 2094720133. The mailing address for Dan Vongtama is 4722 Quail Lakes Dr, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dan Vongtama |
|---|---|
| Address | 4722 Quail Lakes Dr, Stockton, California |
| Phone Number | 2094721848 |
| Fax Number | 2094720133 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1245434083 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2022-10-21 |
Provider Mailing Address Detail
| Address | 4722 Quail Lakes Dr |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952075256 |
| Phone Number | 2094721848 |
| Fax Number | 2094720133 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | A109003 |
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Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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What is the unique provider identifier assigned to Dan Vongtama?
The Dan Vongtama has been issued the NPI (National Provider Identifier) 1245434083 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Dan Vongtama located?
The Dan Vongtama is located at 4722 Quail Lakes Dr, Stockton, CA 952075256.
What is Dan Vongtama's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dan Vongtama's specialized field of practice is Radiation Oncology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1245434083 to Dan Vongtama?
The Centers for Medicare & Medicaid Services assigned the 1245434083 to Dan Vongtama on 2007-06-14.
When was the information pertaining to Dan Vongtama most recently updated or revised?
The details related to Dan Vongtama, including its address, specialty, and other relevant information, were last updated or revised on 2022-10-21.