Tin Viet Phan
Student in an Organized Health Care Education/Training Program
About Tin Viet Phan
Tin Viet Phan is a male healthcare professional specializing in Student in an Organized Health Care Education/Training Program, registered under National Provider Identifier (NPI) number 1134803059. Tin Viet Phan received his medical education at OTHER, graduating in 2025.
Their primary practice is located at 588 LONGMEADOW ST, Longmeadow, Massachusetts 01106. Patients can reach the office at (413) 565-1000. In addition to the primary location, Tin Viet Phan maintains 1 additional practice location.
Tin Viet Phan is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Tin Viet Phan has been NPI-registered since 2023.
Key Metrics
Practice Locations
2
Doctor Details
Identity & Credentials
- NPI Number
- 1134803059
- Entity Type
- Individual
- First Name
- Tin
- Last Name
- Phan
- Gender
- Male
- Medical School
- OTHER
- Graduation Year
- 2025
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 588 LONGMEADOW ST
- City
- Longmeadow
- State
- Massachusetts
- ZIP
- 01106-2212
- Country
- United States
- Phone
- (413) 565-1000
Specialty & Taxonomy
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Classification
- Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 588 LONGMEADOW ST
- City
- LONGMEADOW
- State
- MA
- ZIP
- 011062212
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Tin Viet Phan's NPI number?
What does Tin Viet Phan specialize in?
Where is Tin Viet Phan located?
Does Tin Viet Phan accept Medicare?
Does Tin Viet Phan offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Tin Viet Phan is 1134803059.