Individual
MATT HAI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 N RAINBOW BLVD, SUITE 300, LAS VEGAS, NV 89107-1082
(702) 450-1717
(702) 947-6740
Mailing address
500 N RAINBOW BLVD, SUITE 300, LAS VEGAS, NV 89107-1082
(702) 450-1717
(702) 947-6740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11052
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505793
—
NV
Enumeration date
09/25/2006
Last updated
05/20/2014
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