Individual
ANTHONY PHUC THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, RM AG012, INDIANAPOLIS, IN 46202-1239
(317) 962-5975
Mailing address
1701 N SENATE BLVD RM AG012, INDIANAPOLIS, IN 46202-1239
(317) 962-5975
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01097171A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
08/11/2025
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