MEDICARE: JULIUS 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	207P00000X	Emergency Medicine Physician	D0059919	MD

Other Identifiers

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

General Provider Information

NPI Number	:	1447241492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIUS PHAM MD

Provider Business Mailing Address
First Line	:	5801 SMITH AVE
Second Line	:	DAVIS BUILDING, SUITE 3220
City	:	BALTIMORE
State	:	MD
Zip	:	21209-3652
Country	:	US
Telephone Number	:	410-735-6419
Fax Number	:

Provider Business Practice Location Address
First Line	:	5801 SMITH AVE
Second Line	:	DAVIS BUILDING, SUITE 3220
City	:	BALTIMORE
State	:	MD
Zip	:	21209-3652
Country	:	US
Telephone Number	:	410-735-6419
Fax Number	:

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	08/19/2013

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Directions to “ JULIUS PHAM MD” Practice Location

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