MEDICARE: HUONG DIEN PHAM MD

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	207V00000X	Obstetrics & Gynecology Physician	BU3479335-181	LA

General Provider Information

NPI Number	:	1003083981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUONG DIEN PHAM MD

Provider Business Mailing Address
First Line	:	4626 ALCEE FORTIER BLVD
Second Line	:	STE D
City	:	NEW ORLEANS
State	:	LA
Zip	:	70129-2130
Country	:	US
Telephone Number	:	504-324-8760
Fax Number	:	504-324-9074

Provider Business Practice Location Address
First Line	:	4626 ALCEE FORTIER BLVD D
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70129-2130
Country	:	US
Telephone Number	:	504-324-8760
Fax Number	:	504-324-9074

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

Provider Enumeration Date	:	05/10/2008
Last Update Date	:	02/16/2016

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Directions to “ HUONG DIEN PHAM MD” Practice Location

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