person
Philip Tyler Minshew, MD
Diagnostic Radiology Physician in Fairfax, Virginia
NPI 1447221593

Philip Tyler Minshew is a Diagnostic Radiology Physician based in Fairfax, VA and is specialized in Diagnostic Radiology. Philip Tyler Minshew practices in Fairfax, VA and has the professional credentials of MD. The NPI Number for Philip Tyler Minshew is 1447221593 and holds a License No. A91817 (Virginia).

The current practice location address for Philip Tyler Minshew is 2722 Merrilee Dr, Fairfax, VA and can be reached out via phone at 703-698-4483 and via fax at 703-573-0880. You can also correspond with Philip Tyler Minshew through the mailing address at 2722 MERRILEE DR, FAIRFAX, VA - 22031-4420 (mailing address contact number: 703-698-4483).

Location: 2722 Merrilee Dr, Fairfax, VA, 22031-4420
person
Provider Profile Details
NPI Number
1447221593
Provider Name
Philip Tyler Minshew
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2722 Merrilee Dr, Fairfax, VA, 22031-4420
Phone Number
703-698-4483
Fax Number
703-573-0880
Provider Enumeration Date
01/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00622666 01 DC RR MEDICARE
273522 01 VA KAISER PERMANENTE
0101243052 01 VA MEDICAL LICENSE
0104 01 VA CAREFIRST BCBS
3810011982 05 WV
institution
Provider Business Practice Location Address Details
Address
2722 Merrilee Dr
City
State
Zip
22031-4420
Phone Number
703-698-4483
Fax Number
703-573-0880
person
Provider Business Mailing Address Details
Address
2722 Merrilee Dr
City
State
Zip
22031-4420
Phone Number
703-698-4483
Fax Number
703-573-0880
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
A91817 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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