Individual
TIEN PHUC DO
Active
Individual
TIEN PHUC DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54248
CT
207RH0003X
Hematology & Oncology Physician
0101267626
VA
207RX0202X
Medical Oncology Physician
Primary
ME162695
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101267626
LICENSE
VA
05
—
118279700
—
FL
01
—
54248
LICENSE
CT
Enumeration date
06/06/2014
Last updated
02/19/2026
Update your record
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