1437275120 NPI number — DR. THAO THANH-THI TRAN PHARM. D.

Table of content: DR. THAO THANH-THI TRAN PHARM. D. (NPI 1437275120)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437275120 NPI number — DR. THAO THANH-THI TRAN PHARM. D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TRAN
Provider First Name:
THAO
Provider Middle Name:
THANH-THI
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARM. D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437275120
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 WEST BROAD STREET
Provider Second Line Business Mailing Address:
GEORGE MASON SQUARE ANNEX, 3RD FLOOR
Provider Business Mailing Address City Name:
FALLS CHURCH
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22046
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-531-2420
Provider Business Mailing Address Fax Number:
703-531-2437

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1718 ASPENWOOD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAMPTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23666-3061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-508-7858
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  0202206629 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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