person
Minhtam T Thai, DPM
Foot & Ankle Surgery Podiatrist in Portsmouth, Virginia
NPI 1659519429

Minhtam T Thai is a Foot & Ankle Surgery Podiatrist based in Miami Gardens, VA and is specialized in Foot & Ankle Surgery. Minhtam T Thai practices in Portsmouth, VA and has the professional credentials of DPM. The NPI Number for Minhtam T Thai is 1659519429 and holds a License No. 0103301001 (Virginia).

The current practice location address for Minhtam T Thai is 4106 Portsmouth Blvd, Portsmouth, VA and can be reached out via phone at 757-393-1136 and via fax at 757-698-2499. You can also correspond with Minhtam T Thai through the mailing address at 1395 NW 167TH ST, MIAMI GARDENS, FL - 33169-5710 (mailing address contact number: 305-628-6117).

Location: 4106 Portsmouth Blvd, Portsmouth, VA, 33169-5710
person
Provider Profile Details
NPI Number
1659519429
Provider Name
Minhtam T Thai
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
4106 Portsmouth Blvd, Portsmouth, VA, 33169-5710
Phone Number
757-393-1136
Fax Number
757-698-2499
Provider Enumeration Date
01/31/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0103301001 01 VA COMMONWEALTH OF VIRGINIA
institution
Provider Business Practice Location Address Details
Address
4106 Portsmouth Blvd
City
State
Zip
23701
Phone Number
757-393-1136
Fax Number
757-698-2499
person
Provider Business Mailing Address Details
Address
1395 Nw 167Th St
City
State
Zip
33169-5710
Phone Number
305-628-6117
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
0103301001 (Virginia)
Definition
Definition to come...
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