| NPI | 1063682219 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2008-03-04 |
| Last Updated | 2008-04-04 |
| Authorized Official | Thanh Phan PRESIDENT Phone: 2486811025 |
| Mailing Address | 4000 Highland Rd, Suite 110 Waterford, MI 48328-2167 United States Phone: (248) 681-1025 | Fax: (248) 681-1533 📍 View Map |
| Primary Practice Address | 4000 Highland Rd, Suite 110 Waterford, MI 48328-2167 United States Phone: (248) 681-1025 | Fax: (248) 681-1533 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | MI | 0206316622 | BCBSM/BCN |
| MEDICAID | MI | 101423155 | — |
| Other (non-Medicare) | MI | 208600000X | TAXONOMY CODE |
| Other (non-Medicare) | MI | 87199A | HAP |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 2086S0129X – | MI | 4301 035554 |
| Yes | 208600000X – Surgery | MI | 4301 035554 |
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About NPI 1063682219
Phan H Thanh M D P C is an organization registered in the CMS NPPES NPI Registry with NPI number 1063682219. The primary specialty listed is Surgery. The organization is located in Waterford, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-03-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063682219?
NPI 1063682219 belongs to Phan H Thanh M D P C, a Surgery in Waterford, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063682219 active?
The current status of NPI 1063682219 in the NPPES registry is Active. The record was last updated on 2008-04-04.
What specialty is NPI 1063682219?
NPI 1063682219 is classified under the taxonomy Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063682219?
You can verify NPI 1063682219 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063682219?
The primary practice address on file for NPI 1063682219 is 4000 Highland Rd, Waterford, MI 48328-2167. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063682219 issued?
NPI 1063682219 was first issued (enumerated) on 2008-03-04. The NPPES record was last updated on 2008-04-04.
Practice Location Map
Phan H Thanh M D P C is located at 4000 Highland Rd, Waterford, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Phan H Thanh M D P C. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063682219. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| 2086S0129X | 4301 035554 | MI |
| Surgery | 4301 035554 | MI |