Individual
DR. ANGIE KHUE-VI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 SW KLICKITAT WAY, SUITE 205, SEATTLE, WA 98134-1161
(206) 622-7747
(206) 467-1470
Mailing address
PO BOX 34245, SEATTLE, WA 98124-1245
(206) 622-7747
(206) 467-1470
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
MD60118420
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A92586
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD60118420
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
258441
DEPARTMENT OF LABOR & INDUSTRIES
WA
05
—
8563595
—
WA
01
—
P00873143
RAILROAD MEDICARE
WA
Enumeration date
05/21/2007
Last updated
06/21/2012
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