Organization
TRICARE MEDICAL GROUP, PC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up