Phan, Thang Minh

Phan, Thang Minh is an individual health care provider with primary practice located at 1224 Trotwood Ave , Columbia TN 38401-4802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Phan, Thang Minh can be contacted via phone (931) 380-4072.

Contact Information

Primary practice address
1224 Trotwood Ave Columbia TN 38401-4802
Fax: (931) 490-7043
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 52293 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 52293 Tennessee

Profile Details

NPI number 1558653923
LBN Legal business name Phan, Thang Minh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2011
Last updated Feb 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558653923 NPPES
Tennessee MEDICAID 3710089

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