Doctor Name: | DR. THANH MINH DO |
NPI Number: | 1902854250 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 0102201001 |
Business Practice Address: | 201 N Washington St Kaiser Permanente Falls Church Medical Center Falls Church, VA - 220464518 |
Business Phone Number: | 7032374000 |
Business Fax Number: | |
Mailing Address: | 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment ROCKVILLE |
State: | MD |
Postal Code: | 208524908 |
Phone Number: | 3018162424 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 11/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0102201001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |