Thai Phan in Winston Salem - Pain Medicine

Thai Phan - NPI 1326135021

Thai Phan is a Pain Medicine in Winston Salem, North Carolina. Thai Phan practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Thai Phan is 1326135021. The last update date is 2013-07-15.

Thai Phan's current location address is 1321 Ashleybrook Ln, Winston Salem, North Carolina. You can contact this provider via phone number 3366599440 and fax number 3366599845. The mailing address for Thai Phan is 1321 Ashleybrook Ln, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Thai Phan
Address 1321 Ashleybrook Ln, Winston Salem, North Carolina
Phone Number 3366599440
Fax Number 3366599845
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1326135021
Provider Enumeration Date 2006-10-06
Last Updated Date 2013-07-15

Provider Mailing Address Detail

Address 1321 Ashleybrook Ln
City Winston Salem
State North Carolina (NC)
Post Code 271032918
Phone Number 3366599440
Fax Number 3366599845

Provider's Primary Taxonomy Detail

Speciality Pain Medicine
Taxonomy 2084P2900X
Licence No 28930
Definition:
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
67433 NC BCBS
8967433 NC --

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FAQs about Thai Phan

What is the unique 10-digit identifier code assigned to Thai Phan by the Centers for Medicare & Medicaid Services?

The Thai Phan has been issued the NPI (National Provider Identifier) 1326135021 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Thai Phan's facilities are situated?

The facilities of Thai Phan are physically located at the following address: 1321 Ashleybrook Ln, Winston Salem, NC, 271032918.

What is Thai Phan's specialized field of practice, and what is the corresponding taxonomy classification code?

The Thai Phan's area of specialization is Pain Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2084P2900X.

On what date did the Thai Phan receive its 1326135021 assignment from the Centers for Medicare & Medicaid Services?

The Thai Phan was assigned its 1326135021 by the Centers for Medicare & Medicaid Services on 2006-10-06.

When was the information related to Thai Phan most recently updated or refreshed?

The details pertaining to the Thai Phan, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-07-15.

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