Ma, Ly Thien
Ma, Ly Thien is an individual health care provider with primary practice located at 424 S 56Th St Ste 120 , Phoenix AZ 85034-2177. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ma, Ly Thien can be contacted via phone (602) 685-5211.Contact Information
Primary practice address
424 S 56Th St Ste 120
Phoenix AZ 85034-2177
Phone: (602) 685-5211
Fax: (602) 685-5325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 47836 | Arizona |
Profile Details
| NPI number | 1699069385 |
|---|---|
| LBN Legal business name | Ma, Ly Thien |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2011 |
| Last updated | Aug 4th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699069385 | NPPES |
| Arizona | MEDICAID | 825075 |
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