Individual
KHIET TRINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 389-3508
Mailing address
4306 WELBY DR, MIDLOTHIAN, VA 23113-3656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101253600
VA
207Q00000X
Family Medicine Physician
MD072204L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000168257
UNISON
PA
05
—
0018404800002
—
PA
01
—
50051118
BLUE CROSS
PA
01
—
7732271
AETNA
PA
01
—
921815
BLUE SHIELD
PA
01
—
C09633
GROUP PTAN
VA
01
—
P002502
GATEWAY
PA
01
—
P00278113
RR MEDICARE
PA
Enumeration date
07/05/2006
Last updated
03/07/2014
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