Individual
TIFFANY PHAM
Active
Individual
TIFFANY PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01094974A
IN
207L00000X
Anesthesiology Physician
2022-02310
NC
207L00000X
Anesthesiology Physician
4916-320
WI
207L00000X
Anesthesiology Physician
Primary
U1545
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300101565
—
IN
Enumeration date
05/14/2018
Last updated
02/20/2025
Update your record
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