Individual
DR. THAI PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 ASHLEYBROOK LN, WINSTON SALEM, NC 27103-2918
(336) 659-9440
(336) 659-9845
Mailing address
1321 ASHLEYBROOK LN, WINSTON SALEM, NC 27103-2918
(336) 659-9440
(336) 659-9845
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
28930
NC
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
28930
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67433
BCBS
NC
05
—
8967433
—
NC
Enumeration date
10/06/2006
Last updated
07/15/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us