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

Individual provider Pediatrics Physician · NPI 1417311374

Michelle Quynh Dao Phan, MD is a Pediatrics Physician in Fairfax, Virginia. Works from 2 locations. Licensed in California, Illinois, Ohio and Pennsylvania and 1 more.

Licensed in
CA, IL, OH, PA, VA
In the registry since
2016
Specialties on file
6
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

13135 Route 50 Ste 201
Fairfax, VA 22033-1907
Phone: (703) 391-0900
Fax: (703) 391-2919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 845 W Wilson Ave, Chicago, IL 60640-8090 — (773) 506-4283

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0101275186 (VA)
Pediatrics Physician Taxonomy 208000000X · Licence MD468228 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence A163063 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence 35.136445 (OH)
Pediatrics Physician Taxonomy 208000000X · Licence 036.150664 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417311374
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2016
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

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