Healthcare Provider Details

I. General information

NPI: 1386396224
Provider Name (Legal Business Name): NGUYEN H PHAM DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2022
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EASTOWNE DR
CHAPEL HILL NC
27514-2286
US

IV. Provider business mailing address

130 MASON FARM RD
CHAPEL HILL NC
27599-7020
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-5050
  • Fax:
Mailing address:
  • Phone: 919-966-2531
  • Fax: 919-966-7013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: