Manh Duc Pham
Family Doctor - Adult Medicine
7551 Madison Ave
Citrus Heights
, California 95610-7449
Manh Duc Pham
Family Doctor - Adult Medicine
7551 Madison Ave
Citrus Heights
, California 95610-7449
(916) 863-2962
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Manh Duc Pham
- 7551 Madison Avenue
- Citrus Heights, CA
- Zip : 95610
- Fax : (916) 863-2962
- Phone : (916) 904-3000
Second Address
- Manh Duc Pham
- 7551 Madison Ave
- Citrus Heights, CA
- Zip : 95610-7449
- Fax : (916) 863-2962
- Phone : (916) 904-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 122553 | CA |
National Provider Identifier
| NPI | 1275854507 |
|---|---|
| Provider Name | Manh Duc Pham |
| First Address | Citrus Heights, CA 95610 |
| Second Address | Citrus Heights, CA 95610-7449 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2010 |
| Last Update Date | 19/08/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003139257A | (05) | GA |
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.