Healthcare Provider Details

I. General information

NPI: 1063711638
Provider Name (Legal Business Name): NHUTHUY THI CAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2011
Last Update Date: 07/21/2022
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 GALVESTON DR
REDWOOD CITY CA
94063-4734
US

IV. Provider business mailing address

101 GALVESTON DR
REDWOOD CITY CA
94063-4734
US

V. Phone/Fax

Practice location:
  • Phone: 650-569-2111
  • Fax:
Mailing address:
  • Phone: 650-569-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License NumberA127502
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberA127502
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: