Individual
DR. CHANNHU TRINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3371 KEMP RD, BEAVERCREEK, OH 45431-2514
(937) 458-4200
(937) 458-4209
Mailing address
2933 MAGINN DR, BEAVERCREEK, OH 45434-5831
(740) 644-3037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01048969A
IN
207Q00000X
Family Medicine Physician
Primary
35087874
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200335580
—
IN
05
—
2663667
—
OH
01
—
P01034947
RAILROAD MEDICARE PIN
—
Enumeration date
11/29/2005
Last updated
04/05/2013
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