MEDICARE: VIEN D PHAM

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1841600798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIEN D PHAM

Provider Business Mailing Address
First Line	:	1697 S FEDERAL BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219
Country	:	US
Telephone Number	:	720-216-1147
Fax Number	:	720-216-1571

Provider Business Practice Location Address
First Line	:	1697 S FEDERAL BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219
Country	:	US
Telephone Number	:	720-216-1147
Fax Number	:	720-216-1571

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

Provider Enumeration Date	:	04/30/2014
Last Update Date	:	01/12/2026

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Directions to “ VIEN D PHAM ” Practice Location

Language	Start Address	Practice Location

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