Provider Demographics
NPI:1841273109
Name:HUYNH, MYLENE TRAN (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:MYLENE
Middle Name:TRAN
Last Name:HUYNH
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:8303 ARLINGTON BLVD
Mailing Address - Street 2:STE 110
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031
Mailing Address - Country:US
Mailing Address - Phone:703-854-1108
Mailing Address - Fax:833-730-1268
Practice Address - Street 1:8303 ARLINGTON BLVD
Practice Address - Street 2:STE 110
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031
Practice Address - Country:US
Practice Address - Phone:703-854-1108
Practice Address - Fax:833-730-1268
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2021-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101224691171100000X, 2083P0901X, 208VP0000X, 207Q00000X
MDD0077367171100000X, 207Q00000X, 2083P0901X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No171100000XOther Service ProvidersAcupuncturist
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine