Individual
TRI MINH DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5091 MITTY WAY, SAN JOSE, CA 95129-1849
(408) 835-9601
Mailing address
2222 LAFAYETTE ST, SANTA CLARA, CA 95050-2904
(408) 835-9601
(408) 770-3314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A55472
CA
2085R0001X
Radiation Oncology Physician
Primary
A55472
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A554720
—
CA
01
—
AS628T
PTAN FOR MEDICARE
CA
Enumeration date
04/06/2006
Last updated
10/19/2022
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