Individual
TRUNG PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 CHARLOTTE ST, KANSAS CITY, MO 64108-2733
(816) 404-4862
Mailing address
2211 CHARLOTTE ST, KANSAS CITY, MO 64108-2733
(816) 404-4862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021025589
MO
207R00000X
Internal Medicine Physician
57.246123
OH
Other
Enumeration date
04/12/2018
Last updated
08/02/2021
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