Individual
DR. CHUNG V. PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 PRYTANIA ST., SUITE 526, NEW ORLEANS, LA 70115-3585
(504) 648-2510
(504) 897-2064
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24957
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
024957
LA
207RP1001X
Pulmonary Disease Physician
024957
LA
207RP1001X
Pulmonary Disease Physician
24957
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1422550
—
LA
Enumeration date
04/23/2007
Last updated
05/10/2019
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