Dr PHUONG XUAN MAI MD is a male medical professional, specializing in Internal Medicine. He graduated in 1998.
12191 CLIPPER DR
LAKE RIDGE
VA
221922237
Tel:
| Npi | 1265439343 |
| Pac Id | 4880661149 |
| Professional Enrollment Id | I20040915000719 |
| Last Name | MAI |
| First Name | PHUONG |
| Middle Name | XUAN |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | GERIATRIC MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GERIATRIC MEDICINE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 12191 CLIPPER DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAKE RIDGE |
| State | VA |
| Zip Code | 221922237 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 490022 |
| Hospital Affiliation Lbn 1 | MARY WASHINGTON HOSPITAL |
| Hospital Affiliation Ccn 2 | 490141 |
| Hospital Affiliation Lbn 2 | SPOTSYLVANIA REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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