Thanh Phan, MD
NPI 1417019969 · Surgery Physician · Waterford Twp, MI
Thanh Phan, MD is a Surgery Physician provider in Waterford Twp, MI (NPI 1417019969).
Provider details
- NPI number
- 1417019969
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 035554 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2025-09-11
Frequently asked questions
- What is Thanh Phan's NPI number?
- Thanh Phan's National Provider Identifier (NPI) is 1417019969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thanh Phan's specialty?
- Thanh Phan is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Thanh Phan located?
- Thanh Phan's practice location on file with NPPES is 4000 Highland Rd, Waterford Twp, MI 48328.
- What is Thanh Phan's phone number?
- The practice phone number listed in the NPPES registry for Thanh Phan is (248) 681-1025.
- Is Thanh Phan's NPI active?
- Yes — Thanh Phan's NPI (1417019969) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.