Provider Demographics
NPI:1881649556
Name:BACH-HUYNH, THIEN-GIANG (MD)
Entity Type:Individual
Prefix:DR
First Name:THIEN-GIANG
Middle Name:
Last Name:BACH-HUYNH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 N GEORGE MASON DR
Mailing Address - Street 2:SUITE 375
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3683
Mailing Address - Country:US
Mailing Address - Phone:703-717-4170
Mailing Address - Fax:703-717-4171
Practice Address - Street 1:1625 N GEORGE MASON DR
Practice Address - Street 2:SUITE 375
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3683
Practice Address - Country:US
Practice Address - Phone:703-717-4170
Practice Address - Fax:703-717-4171
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101234900207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
G02387T01Medicare PIN