Individual
BINH AN PHUONG PHAN
Active
Individual
BINH AN PHUONG PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C132255
CA
207RC0000X
Cardiovascular Disease Physician
Primary
036121748
IL
207RC0000X
Cardiovascular Disease Physician
Primary
C132255
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0198831
LIWA
WA
05
—
8431439
—
WA
01
—
BSWA
3092PH
WA
Enumeration date
06/08/2006
Last updated
04/30/2026
Update your record
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