Provider Demographics
NPI:1851548184
Name:THAI, TUONG VINH (MD)
Entity type:Individual
Prefix:
First Name:TUONG
Middle Name:VINH
Last Name:THAI
Suffix:
Gender:
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:PO BOX 3284
Mailing Address - Street 2:10660 PAGE AVE
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22038-3284
Mailing Address - Country:US
Mailing Address - Phone:517-990-4148
Mailing Address - Fax:
Practice Address - Street 1:1427 MARION BARRY AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-5614
Practice Address - Country:US
Practice Address - Phone:202-836-4841
Practice Address - Fax:919-287-2965
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDC154232084P0800X
MI43010606162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry