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Individual

DR. LANG HA T. PHAM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
(505) 841-1956
Mailing address
1720 LOUISIANA BLVD NE, STE 401, ALBUQUERQUE, NM 87110-7020
(505) 260-4300
(505) 260-4338

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
97-340
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39531
NM
05
397879
AZ
05
7613770
NC
05
91075499
CO
01
NM009C77
BLUE CROSS BLUE SHEILD
NM
05
Q5877
NM
Enumeration date
05/27/2005
Last updated
07/09/2007
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