Tieu, Brian C.

Tieu, Brian C. is an individual health care provider with primary practice located at 281 Trace Colony Park Drive Suite A, Ridgeland MS 39157-3915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Tieu, Brian C. can be contacted via phone (601) 324-4066.

Contact Information

Primary practice address
281 Trace Colony Park Drive Suite A Ridgeland MS 39157-3915
Phone: (601) 324-4066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 23344 Mississippi

Profile Details

NPI number 1962780023
LBN Legal business name Tieu, Brian C.
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2011
Last updated Jul 14th, 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 1962780023 NPPES
Mississippi MEDICAID 06238338

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