Provider Demographics
NPI:1730137175
Name:DO, THIEU M (MD)
Entity type:Individual
Prefix:
First Name:THIEU
Middle Name:M
Last Name:DO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7611 LITTLE RIVER TPKE
Mailing Address - Street 2:SUITE 108 W
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-2602
Mailing Address - Country:US
Mailing Address - Phone:703-658-7060
Mailing Address - Fax:703-658-3150
Practice Address - Street 1:7611 LITTLE RIVER TPKE
Practice Address - Street 2:SUITE 108 W
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2602
Practice Address - Country:US
Practice Address - Phone:703-658-7060
Practice Address - Fax:703-658-3150
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2021-03-29
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Provider Licenses
StateLicense IDTaxonomies
VA0101049539207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005868157Medicaid
VA005868157Medicaid