Individual
DR. THUY KHANH MINH PHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9270 SIEGEN LN, SUITE 202, BATON ROUGE, LA 70810-1998
(225) 766-8152
Mailing address
1229 TANGLEBRIAR DR, BATON ROUGE, LA 70810-5195
(225) 766-4213
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
026220
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1052523
—
LA
Enumeration date
06/13/2007
Last updated
07/08/2007
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