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Thanh Huu Phan, MD

Surgery Physician in Waterford Twp, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417019969

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Registry record

Entity type Individual (Type 1)
Name Thanh Huu Phan
Credential MD
Sex Male
Practice address 4000 Highland Rd, #110, Waterford Twp, MI, 48328
Phone (248) 681-1025
Fax (248) 681-1533
Enumeration date Dec 14, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 035554 (MI) Primary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License 035554 (MI) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Thanh Phan practice?
The practice location on file with NPPES is in Waterford Twp, MI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Thanh Phan?
The National Provider Identifier (NPI) for Thanh Phan is 1417019969, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.