Healthcare Provider Details

I. General information

NPI: 1598469082
Provider Name (Legal Business Name): BINHAN PHAM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 16TH AVE STE 400
SEATTLE WA
98122-5636
US

IV. Provider business mailing address

550 16TH AVE STE 400
SEATTLE WA
98122-5636
US

V. Phone/Fax

Practice location:
  • Phone: 206-320-2233
  • Fax:
Mailing address:
  • Phone: 206-320-2233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD.MD.70159617
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: