Individual
DR. KATHY DIEP NGOC TIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3700 JOSEPH SIEWICK DR, 404, FAIRFAX, VA 22033-1744
(703) 620-8900
(703) 620-2288
Mailing address
12544 PINECREST RD, HERNDON, VA 20171-2530
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101235150
VA
208D00000X
General Practice Physician
0101235150
VA
Other
Enumeration date
12/20/2005
Last updated
02/15/2016
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