MEDICARE: TUONG VINH THAI M.D.

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	2084P0800X	Psychiatry Physician	DC15423	DC

General Provider Information

NPI Number	:	1851548184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TUONG VINH THAI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3284
Second Line	:	10660 PAGE AVE
City	:	FAIRFAX
State	:	VA
Zip	:	22038-3284
Country	:	US
Telephone Number	:	517-990-4148
Fax Number	:

Provider Business Practice Location Address
First Line	:	1427 MARION BARRY AVE SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5614
Country	:	US
Telephone Number	:	202-836-4841
Fax Number	:	919-287-2965

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

Provider Enumeration Date	:	08/19/2008
Last Update Date	:	03/25/2025

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