Mai, Phuong Xuan
Mai, Phuong Xuan is an sole proprietor health care provider with primary practice located at 6620 Keene Dr , Springfield VA 22152-2508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Mai, Phuong Xuan can be contacted via phone (703) 598-5910.Contact Information
Primary practice address
6620 Keene Dr
Springfield VA 22152-2508
Phone: (703) 598-5910
Fax: (703) 639-0738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 0101233304 | Virginia |
Profile Details
| NPI number | 1265439343 |
|---|---|
| LBN Legal business name | Mai, Phuong Xuan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Nov 5th, 2009 - about 17 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 | 1265439343 | NPPES |
| Virginia | MEDICAID | 010135796 |
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