Provider Demographics
NPI:1063441863
Name:TRINH, TRUC THI (MD)
Entity type:Individual
Prefix:DR
First Name:TRUC
Middle Name:THI
Last Name:TRINH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 ARMAND CT
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-1758
Mailing Address - Country:US
Mailing Address - Phone:703-522-0751
Mailing Address - Fax:703-528-4209
Practice Address - Street 1:1715 N GEORGE MASON DR
Practice Address - Street 2:SUITE 204
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3609
Practice Address - Country:US
Practice Address - Phone:703-522-0751
Practice Address - Fax:703-528-4209
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237355207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101237355OtherSTATE LICENSE
VAI36406Medicare UPIN
019508G69Medicare PIN