Individual
DR. THANH MINH DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3019 ROSEMOOR LN, FAIRFAX, VA 22031-2126
(703) 599-9426
Mailing address
3019 ROSEMOOR LN, FAIRFAX, VA 22031-2126
(703) 599-9426
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102201001
VA
208D00000X
General Practice Physician
Primary
0102201001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010266726
—
VA
Enumeration date
05/05/2006
Last updated
08/07/2024
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