Healthcare Provider Details

I. General information

NPI: 1427578335
Provider Name (Legal Business Name): VINH THINH T HUYNH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: THINH T HUYNH MD

II. Dates (important events)

Enumeration Date: 06/21/2017
Last Update Date: 07/21/2022
Certification Date: 10/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2323 MEMORIAL AVENUE SUITE #10
LYNCHBURG VA
24501
US

IV. Provider business mailing address

2323 MEMORIAL AVE STE 10
LYNCHBURG VA
24501-2652
US

V. Phone/Fax

Practice location:
  • Phone: 434-200-5200
  • Fax: 434-200-5213
Mailing address:
  • Phone: 434-200-5200
  • Fax: 434-200-5213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101270740
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: