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NPI Code Detail

MEDICARE: DR. NHU Q PHAM M.D.

MEDICARE: DR. NHU Q 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
1207R00000XInternal Medicine PhysicianA79163CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396776977
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NHU Q PHAM M.D.
Provider Business Mailing Address
First Line : 1450 TREAT BLVD
Second Line : # 300
City : WALNUT CREEK
State : CA
Zip : 94597-2168
Country : US
Telephone Number : 925-952-2828
Fax Number :
Provider Business Practice Location Address
First Line : 1505 SAINT ALPHONSUS WAY
Second Line :
City : ALAMO
State : CA
Zip : 94507-1570
Country : US
Telephone Number : 925-838-5750
Fax Number : 925-838-5769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 12/11/2018

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