Provider Demographics
NPI:1679079230
Name:PHAN-HUY, ANNE (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:PHAN-HUY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18752 VIA VERONA
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92603-3441
Mailing Address - Country:US
Mailing Address - Phone:949-232-5276
Mailing Address - Fax:
Practice Address - Street 1:18752 VIA VERONA
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92603-3441
Practice Address - Country:US
Practice Address - Phone:949-232-5276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3210722084P0800X
CAA1834112084P0800X
KSTW-002072084P0800X
VATPME45812084P0800X
MN28082084P0800X
FLTPME45812084P0800X
MI43011151492084P0800X
MI43015030512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry