Individual
JAY XUAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E BROAD ST, RICHMOND, VA 23298-5058
(804) 828-9783
Mailing address
BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101285098
VA
2085R0202X
Diagnostic Radiology Physician
1235753963
VA
Other
Enumeration date
05/28/2020
Last updated
06/05/2025
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