THANH HUU PHAN MD
NPI 1417019969
Surgery in Waterford Twp, MI

Active since December 14, 2006
4000 HIGHLAND RD, #110, WATERFORD TWP, MI 48328(248) 681-1025(248) 681-1533 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thanh Huu Phan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THANH HUU PHAN MD (NPI 1417019969) is an individual surgery provider in Waterford Twp, Michigan, licensed in Michigan (035554) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1417019969
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTHANH HUU PHANCredential: MD
Location Address4000 HIGHLAND RD, #110Waterford Twp, MI 48328
Mailing Address4000 Highland Rd, #110Waterford Twp, MI 48328 · (248) 681-1025 · Fax (248) 681-1533
Fax(248) 681-1533
Sole ProprietorNo
Enumeration DateDecember 14, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1417019969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MI · 035554
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 035554 (MI)
4000 HIGHLAND RD, Waterford Twp, MI 48328

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
4000 HIGHLAND RD, SUITE 110
WATERFORD, MI 48328
Specialist
4000 HIGHLAND RD, SUITE 100
WATERFORD, MI 48328
Specialist
4000 HIGHLAND RD, SUITE 100
WATERFORD, MI 48328
Internal Medicine
4000 HIGHLAND RD, SUITE 104
WATERFORD, MI 48328
Internal Medicine (Pulmonary Disease)
4000 HIGHLAND RD, STE 130
WATERFORD, MI 48328
Pharmacist
4000 HIGHLAND RD, SUITE#113
WATERFORD, MI 48328
Internal Medicine (Cardiovascular Disease)
4000 HIGHLAND RD, SUITE 109
WATERFORD, MI 48328
Otolaryngology
4000 HIGHLAND RD, SUITE 115
WATERFORD, MI 48328

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thanh Phan's NPI number?

The NPI number for Thanh Phan is 1417019969. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Thanh Phan located?

Thanh Phan practices at 4000 Highland Rd #110, Waterford Twp, MI 48328. The listed phone number is (248) 681-1025.

What is Thanh Phan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Thanh Phan was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.