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NPI Code Detail

MEDICARE: CHANH HUYNH MD

MEDICARE: CHANH HUYNH 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
1207Q00000XFamily Medicine Physician2026-00047NC
2207Q00000XFamily Medicine Physician296284NY

General Provider Information

NPI Number : 1447606215
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANH HUYNH MD
Provider Business Mailing Address
First Line : 6115 PARK SOUTH DR STE 100
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3281
Country : US
Telephone Number : 704-554-8787
Fax Number : 704-554-8774
Provider Business Practice Location Address
First Line : 6115 PARK SOUTH DR STE 100
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3281
Country : US
Telephone Number : 704-554-8787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2016
Last Update Date : 04/06/2026

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Directions to “ CHANH HUYNH MD” Practice Location

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