Thanh Huu Phan, MD - Surgery in Waterford Twp, MI

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Thanh Huu Phan, MD is a Surgery - Vascular Surgery physician based in Waterford Twp, Michigan. Thanh Huu Phan is licensed to practice in Michigan (license number 035554) and his current practice location is 4000 Highland Rd, #110, Waterford Twp, Michigan. He can be reached at his office (for appointments etc.) via phone at (248) 681-1025.

NPI number for Thanh Huu Phan is 1417019969 and his current mailing address is 4000 Highland Rd, #110, Waterford Twp, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417019969.

Contact Information

Thanh Huu Phan, MD
4000 Highland Rd, #110,
Waterford Twp, MI 48328
(248) 681-1025
(248) 681-1533

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Physician's Profile

Full NameThanh Huu Phan
GenderMale
SpecialitySurgery - Vascular Surgery
Location4000 Highland Rd, Waterford Twp, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417019969
  • Provider Enumeration Date: 12/14/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Thanh Huu Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417019969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 035554 (Michigan)Primary
2086S0129XSurgery - Vascular Surgery 035554 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thanh Huu Phan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thanh Huu Phan, MD
4000 Highland Rd, #110,
Waterford Twp, MI 48328

Ph: (248) 681-1025		Thanh Huu Phan, MD
4000 Highland Rd, #110,
Waterford Twp, MI 48328

Ph: (248) 681-1025

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Surgery Doctors in Waterford Twp, MI


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