Basic Information
Provider Information
NPI: 1770848327
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TRINH
FirstName: THAI
MiddleName: Q
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 950 BETHESDA DR.
Address2: BUIDING 5, UNIT 1
City: ZANESVILLE
State: OH
PostalCode: 43701
CountryCode: US
TelephoneNumber: 7405866828
FaxNumber: 7405866511
Practice Location
Address1: 950 BETHESDA DR UNIT 1
Address2:  
City: ZANESVILLE
State: OH
PostalCode: 437017507
CountryCode: US
TelephoneNumber: 7405866828
FaxNumber: 7405866511
Other Information
ProviderEnumerationDate: 07/10/2012
LastUpdateDate: 02/20/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/20/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X57OHY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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