Healthcare Provider Details

I. General information

NPI: 1386726966
Provider Name (Legal Business Name): WIN & THU,MD;PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 SEVEN CORNERS PL STE F
FALLS CHURCH VA
22044-2031
US

IV. Provider business mailing address

6400 SEVEN CORNERS PL STE F
FALLS CHURCH VA
22044-2031
US

V. Phone/Fax

Practice location:
  • Phone: 703-538-4197
  • Fax: 703-538-5197
Mailing address:
  • Phone: 703-538-4197
  • Fax: 703-538-5197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0633942
License Number StateVA

VIII. Authorized Official

Name: SEIN WIN
Title or Position: PRESIDENT
Credential: MD
Phone: 703-538-4197