MEDICARE: DR. STEVE PHAM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	275291	NY
2	207P00000X	Emergency Medicine Physician	A132658	CA

General Provider Information

NPI Number	:	1285950253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVE PHAM M.D.

Provider Business Mailing Address
First Line	:	2433 WARRING ST
Second Line	:	APT 6
City	:	BERKELEY
State	:	CA
Zip	:	94704-2501
Country	:	US
Telephone Number	:	412-818-5738
Fax Number	:

Provider Business Practice Location Address
First Line	:	2433 WARRING ST
Second Line	:	APT 6
City	:	BERKELEY
State	:	CA
Zip	:	94704-2501
Country	:	US
Telephone Number	:	412-818-5738
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2010
Last Update Date	:	04/01/2015

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