Provider Demographics
NPI:1740238195
Name:DO, THIEN MINH (MD)
Entity Type:Individual
Prefix:DR
First Name:THIEN
Middle Name:MINH
Last Name:DO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7432 LITTLE RIVER TPKE
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3013
Mailing Address - Country:US
Mailing Address - Phone:703-658-7060
Mailing Address - Fax:703-658-3150
Practice Address - Street 1:7432 LITTLE RIVER TPKE
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3013
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:2018-03-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101047162207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005868084Medicaid
MD400672100Medicaid
MD400672100Medicaid