Individual
DR. CAM -TU THI THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6316 CASTLE PL, SUITE 301, FALLS CHURCH, VA 22044-1906
(703) 241-2412
Mailing address
12418 ROCK RIDGE RD, HERNDON, VA 20170-5726
(703) 241-2412
(703) 241-5743
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101054907
VA
207R00000X
Internal Medicine Physician
Primary
0101054907
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2697907
AETNA HMO
—
01
—
317926
ANTHEM
VA
01
—
541999294
UNITEDHEALTHCARE
—
05
—
5846013
—
VA
01
—
7289333
AETNA PPO
—
01
—
F145
CAREFIRST BC BS
VA
Enumeration date
12/29/2005
Last updated
11/16/2015
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