Individual
ROSALIE D PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-2976
(301) 946-5100
(301) 929-0348
Mailing address
11510 GEORGIA AVE, SUITE 206, WHEATON, MD 20902-1925
(301) 946-5100
(301) 929-0348
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD31509
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104
CAREFIRST BCBS
DC
01
—
202426
KAISER
DC
01
—
2495246
AETNA HMO
DC
01
—
441050
ANTHEM BCBS
VA
01
—
493309
NCPPO
DC
01
—
5025620
AETNA NON HMO
DC
05
—
5704863
—
VA
Enumeration date
07/19/2006
Last updated
07/09/2007
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