Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | BU3479335-181 | LA |
NPI | 1003083981 |
---|---|
Provider Name | Huong Dien Pham |
First Address | New Orleans, LA 70129-2130 |
Second Address | New Orleans, LA 70129-2130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2008 |
Last Update Date | 16/02/2016 |