Hai Van Pham
Internist Family Doctor Family Doctor - Geriatric Medicine
4800 Fredericksburg Rd Ste 127
San Antonio
, Texas 78229-3628
Hai Van Pham
Internist Family Doctor Family Doctor - Geriatric Medicine
4800 Fredericksburg Rd Ste 127
San Antonio
, Texas 78229-3628
(248) 324-1477
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
- Internist
Languages spoken
- English
Location
First Address
- Hai Van Pham
- Po Box 1239
- Troy, MI
- Zip : 48099-1239
- Fax : (248) 324-1477
- Phone : (248) 824-6600
Second Address
- Hai Van Pham
- 4800 Fredericksburg Rd Ste 127
- San Antonio, TX
- Zip : 78229-3628
- Fax : (210) 733-8649
- Phone : (210) 733-5072
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FAQs
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Is Hai Van Pham a sole practitioner?
Is Hai Van Pham accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | J9781 | TX |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | J9781 | TX |
| Y | 207R00000X | Internist | J9781 | TX |
| Y | 111NI0900X | Internist | J9781 | TX |
National Provider Identifier
| NPI | 1316042849 |
|---|---|
| Provider Name | Hai Van Pham |
| First Address | Troy, MI 48099-1239 |
| Second Address | San Antonio, TX 78229-3628 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2006 |
| Last Update Date | 04/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0002MU | GROUP BCBS OF TX (01) | TX |
| 179041201 | (05) | TX |
| G48019 | (02) | TX |
| P00296211 | RAIL ROAD MEDICARE (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.