Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ly Thien MA, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1699069385

Dr. Ly Thien MA, MD is a Pathology in Phoenix, Arizona. Qualified in 2006, 20 years ago. Practices with Diagnostic Pathology Medical Group Inc, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
20
Licensed in
AZ
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

424 S 56th St Ste 120
Phoenix, AZ 85034-2177
Phone: (602) 685-5211
Fax: (602) 685-5325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 424 S 56th St Ste 110, Phoenix, AZ 85034-2177 — (602) 685-5211

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 47836 (AZ)

Record details

NPI number1699069385
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2011
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Diagnostic Pathology Medical Group Inc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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