# AN PHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356899082
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 144305 | CA | — |
| 208000000X | Pediatrics Physician | 60764804 | WA | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 0101272792 | VA | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 60764804 | WA | — |

## Other

- **Enumeration date:** 09/11/2016
- **Last updated:** 12/02/2024