Individual
DAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 PARK PL, FALLS CHURCH, VA 22046-4513
(703) 241-8811
(703) 241-8813
Mailing address
107 PARK PL, FALLS CHURCH, VA 22046-4513
(703) 241-8811
(703) 241-8813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101276629
VA
207R00000X
Internal Medicine Physician
A155606
CA
208M00000X
Hospitalist Physician
A155606
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518313659
—
VA
Enumeration date
05/08/2016
Last updated
01/08/2026
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