Whalio Doctors

NPI 1124032917

Duong Thai Ly, MD

Practitioner Anesthesiology Physician Martinsburg, WV

Practice location

Address
1006 Tavern Rd, Martinsburg, WV 25401-2864
Phone
(304) 267-5141
Fax
(304) 267-5140
Mailing address
PO Box 62556, Baltimore, MD 21264-2556

Registered specialties (3)

Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 24121 (WV)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence D69151 (MD)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 0101246849 (VA)

Registry record

NPI
1124032917
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Jul 2006
Record last updated
5 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.