MEDICARE: QUY 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
1	207N00000X	Dermatology Physician	32318	OK
2	207N00000X	Dermatology Physician	S4842	TX

General Provider Information

NPI Number	:	1487000154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUY PHAM M.D

Provider Business Mailing Address
First Line	:	1512 SW 119TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-4930
Country	:	US
Telephone Number	:	405-310-6000
Fax Number	:	405-280-1398

Provider Business Practice Location Address
First Line	:	1512 SW 119TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-4930
Country	:	US
Telephone Number	:	405-310-6000
Fax Number	:	405-280-1398

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

Provider Enumeration Date	:	05/11/2016
Last Update Date	:	12/02/2025

Similar Medicare Providers

1518772433 — EVI DERMATOLOGY PLLC
Practice Location Address:

1512 SW 119TH ST
OKLAHOMA CITY, OK
73170-4930

Practice Phone: 405-310-6000
Practice Fax: 405-280-1398

1417396516 — ABBEY WOODS MD
Practice Location Address:

1510 SW 119TH ST
OKLAHOMA CITY, OK
73170-4930

Practice Phone: 405-353-1460
Practice Fax:

1053711523 — DR. KYLE BROTHERTON D.C.
Practice Location Address:

1514 SW 119TH ST
OKLAHOMA CITY, OK
73170-4930

Practice Phone: 405-602-8925
Practice Fax: 405-304-3021

1699121467 — ALIGN OKLAHOMA PC
Practice Location Address:

1514 SW 119TH ST
OKLAHOMA CITY, OK
73170-4930

Practice Phone: 405-602-8925
Practice Fax: 405-304-3021

1861977365 — WOODS FAMILY MEDICINE PLLC
Practice Location Address:

1510 SW 119TH ST
OKLAHOMA CITY, OK
73170-4930

Practice Phone: 573-578-0638
Practice Fax:

1235902388 — ADVANTAGE HOME MEDICAL
Practice Location Address:

1514 SW 119TH ST
OKLAHOMA CITY, OK
73170-4930

Practice Phone: 405-689-0433
Practice Fax:

Directions to “ QUY PHAM M.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.