Individual provider · Type 1 NPI
Cong Thanh Phan, MD
Retina Specialist (Ophthalmology) Physician · Monroeville, PA
NPI number
1104454164
Active
Practice location
300 Oxford Dr Ste 300
Monroeville, PA 15146-2357
Fax (412) 349-8655
Other practice locations
- 5303 Harry Hines Blvd, 6th Floor, Dallas, TX 75390 · (214) 645-2020
- 221 Cabela Dr, Triadelphia, WV 26059-1022 · (412) 349-8655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 36460 (WV) |
| Ophthalmology Physician | 207W00000X | V0115 (TX) |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | MD493792 (PA) |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
4 other providers at this address
- Deepam Rusia, MDRetina Specialist (Ophthalmology) Physician Monroeville, PA NPI 1386932069
- Jared Evan Knickelbein, MD/PHDRetina Specialist (Ophthalmology) Physician Monroeville, PA NPI 1528357043
- Mark Pietro Seraly, MDOphthalmology Physician Monroeville, PA NPI 1205396918
- Shripaad Y. Shukla, MDRetina Specialist (Ophthalmology) Physician Monroeville, PA NPI 1467727735
Other retina specialist (ophthalmology) physician providers in Monroeville
- Deepam Rusia, MDRetina Specialist (Ophthalmology) Physician Monroeville, PA NPI 1386932069
- Robert L. Bergren, MDRetina Specialist (Ophthalmology) Physician Monroeville, PA NPI 1467407130
- Shripaad Y. Shukla, MDRetina Specialist (Ophthalmology) Physician Monroeville, PA NPI 1467727735
- Jared Evan Knickelbein, MD/PHDRetina Specialist (Ophthalmology) Physician Monroeville, PA NPI 1528357043
- Avni Patel Vyas, MDRetina Specialist (Ophthalmology) Physician Monroeville, PA NPI 1730309584
About NPI 1104454164
Cong Thanh Phan, MD's National Provider Identifier is 1104454164, issued on Mar 27, 2020. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Monroeville, PA. The record was last updated on May 11, 2026.