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Individual
DR. NGHI BAO PHAN
Active
Individual
DR. NGHI BAO PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N2730
TX
208000000X
Pediatrics Physician
N2730
TX
208D00000X
General Practice Physician
N2730
TX
208M00000X
Hospitalist Physician
N2730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220318403
—
TX
05
—
220318404
—
TX
01
—
3851804218
MYUTMB 3851804218-COMMERCIAL NUMBER
—
01
—
P01294349
RAILROAD MEDICARE
TX
Enumeration date
06/14/2007
Last updated
07/06/2016
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