# BICH-NGOC THI PHAM, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598938425
- **Authorized official:** DR. BICH-NGOC THI PHAM M.D. (PRESIDENT)
- **Authorized official phone:** (504) 341-1191

## Contact information

- **Practice address:** 1301 BARATARIA BLVD, MARRERO, LA 70072-3703
- **Practice address phone:** (504) 341-1191
- **Practice address fax:** (504) 371-4703
- **Mailing address:** PO BOX 2367, MARRERO, LA 70073-2367
- **Mailing address phone:** (504) 341-1191
- **Mailing address fax:** (504) 371-4703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 024591 | LA | Yes |

## Other

- **Enumeration date:** 04/11/2008
- **Last updated:** 04/11/2008