Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 5101019220 | MI |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | DR.0057819 | CO |
NPI | 1144514365 |
---|---|
Provider Name | Dr. Xinh Pham Donahue |
First Address | Denver, CO 80247-1314 |
Second Address | Lone Tree, CO 80124-5425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2011 |
Last Update Date | 26/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
028768 | KAISER COMMERCIAL NUMBER (01) | CO |