Individual
MINH D TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21785 FILIGREE CT STE 100, ASHBURN, VA 20147-6214
(703) 554-1100
Mailing address
21785 FILIGREE CT STE 100, ASHBURN, VA 20147-6214
(703) 554-1100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101257641
VA
207Q00000X
Family Medicine Physician
D0078580
MD
207Q00000X
Family Medicine Physician
MT199021
PA
Other
Enumeration date
06/20/2011
Last updated
02/20/2016
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