MICHELLE QUYNH DAO PHAN M.D.
NPI 1417311374
Pediatrics in Fairfax, VA

Q: What is Michelle Phan's NPI number?

The NPI number for Michelle Phan is 1417311374. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Q: What is Michelle Phan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Phan was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 07, 2016

13135 ROUTE 50 STE 201, FAIRFAX, VA 22033(703) 391-0900(703) 391-2919 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2020, Dec 8, 2019 (2 updates tracked since 2019).

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About Michelle Quynh Dao Phan M.d. NPPES

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

MICHELLE QUYNH DAO PHAN M.D. (NPI 1417311374) is an individual pediatrics provider in Fairfax, Virginia, licensed in Virginia (0101275186) and active in the NPI registry since April 2016. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1417311374

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMICHELLE QUYNH DAO PHANCredential: M.D.

Location Address13135 ROUTE 50 STE 201Fairfax, VA 22033-1907

Mailing Address13135 Route 50 Ste 201Fairfax, VA 22033-1907 · (703) 391-0900 · Fax (703) 391-2919

Phone(703) 391-0900

Fax(703) 391-2919

Sole ProprietorNo

Enumeration DateApril 7, 2016

Last NPPES UpdateAugust 29, 20252 updates tracked since enumeration

NPPES CertifiedAugust 29, 2025

✔ NPI 1417311374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in VA · 0101275186✔ Licensed in PA · MD468228✔ Licensed in CA · A163063✔ Licensed in OH · 35.136445✔ Licensed in IL · 036.150664

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

13135 ROUTE 50 STE 201, Fairfax, VA 22033

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Secondary Practice Location 1

Location 1845 W Wilson AveChicago, IL 60640-8090 · Phone (773) 506-4283 · Fax (773) 506-4847

Other Providers at the Same Location NPPES 5

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

STEPHANIE GIANG-TIEN NGUYEN DO

Pediatrics