Organization
TRICARE MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRI PHAM MD (PRESIDENT)
(703) 578-0707
Entity
Organization
Contact information
Practice address
5985 COLUMBIA PIKE, SUITE 102, FALLS CHURCH, VA 22041-2043
(703) 578-0707
(703) 578-0909
Mailing address
5985 COLUMBIA PIKE, SUITE 102, FALLS CHURCH, VA 22041
(703) 578-0707
(703) 578-0909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101235759
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010199620
—
VA
Enumeration date
09/06/2007
Last updated
11/10/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us