MEDICARE: NHUTHUY THI CAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	A127502	CA
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	A127502	CA

General Provider Information

NPI Number	:	1063711638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NHUTHUY THI CAN MD

Provider Business Mailing Address
First Line	:	101 GALVESTON DR
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-4734
Country	:	US
Telephone Number	:	650-569-2111
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 GALVESTON DR
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-4734
Country	:	US
Telephone Number	:	650-569-2111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2011
Last Update Date	:	07/21/2022

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