NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

TERESA T PHAN, MD
41 S HIGH ST
SUITE 25
COLUMBUS, OH43215-6101
 Phone: 614-533-6700
 Fax: 614-224-8562
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TERESA T PHAN · (Female)

NPI # 1003012907
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2007
Last updated 11/20/2013 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35.096152
  • OH Medicaid 3082962
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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