Individual
DR. HAI T PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1221 S. WATER STREET, SUITE A, KENT, OH 44240
(330) 474-0500
(330) 474-0501
Mailing address
1221 S. WATER STREET, SUITE A, KENT, OH 44240
(330) 474-0500
(330) 474-0501
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-00-3280 -P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659359768
NPI
—
05
—
2415247
—
OH
Enumeration date
01/09/2006
Last updated
10/01/2011
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