Provider Demographics
NPI:1386726966
Name:WIN & THU,MD;PC
Entity type:Organization
Organization Name:WIN & THU,MD;PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-538-4197
Mailing Address - Street 1:6400 SEVEN CORNERS PL STE F
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2031
Mailing Address - Country:US
Mailing Address - Phone:703-538-4197
Mailing Address - Fax:703-538-5197
Practice Address - Street 1:6400 SEVEN CORNERS PL STE F
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2031
Practice Address - Country:US
Practice Address - Phone:703-538-4197
Practice Address - Fax:703-538-5197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0633942207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0633942OtherPROFESSIONS & PROF SVCS