Individual
DR. QUEHUONG H.T. PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1406 W 5TH ST STE 301, LONDON, KY 40741-1688
(606) 330-2370
(352) 726-0079
Mailing address
1406 W 5TH ST STE 301, LONDON, KY 40741-1688
(606) 330-2370
(352) 726-0079
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME80843
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538137369
NPI
FL
05
—
259385800
—
FL
01
—
35762
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/09/2006
Last updated
08/27/2015
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