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NPI Code Detail

MEDICARE: VINH NGOC PHAM MD

MEDICARE: VINH NGOC 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
12084N0400XNeurology Physician35.149614OH

General Provider Information

NPI Number : 1043847056
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINH NGOC PHAM MD
Provider Business Mailing Address
First Line : 2222 CHERRY ST STE M200
Second Line :
City : TOLEDO
State : OH
Zip : 43608-2674
Country : US
Telephone Number : 419-475-9341
Fax Number :
Provider Business Practice Location Address
First Line : 2222 CHERRY ST STE M200
Second Line :
City : TOLEDO
State : OH
Zip : 43608-2674
Country : US
Telephone Number : 419-475-9341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2020
Last Update Date : 01/23/2026

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Directions to “ VINH NGOC PHAM MD” Practice Location

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