Individual
ALEXANDRIA T PHAN
Active
Individual
ALEXANDRIA T PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L3069
TX
207RH0003X
Hematology & Oncology Physician
23373-875
WI
207RH0003X
Hematology & Oncology Physician
L3069
TX
207RX0202X
Medical Oncology Physician
23373-875
WI
207RX0202X
Medical Oncology Physician
Primary
L3069
TX
207RX0202X
Medical Oncology Physician
MD2016-0653
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147345602
—
TX
05
—
147345603
—
TX
01
—
1821016148
BLUE CROSS BLUE SHIELD
TX
05
—
1821016148
—
WI
01
—
8EE349
BLUE CROSS BLUE SHIELD
TX
01
—
8J1932
BCBS
TX
01
—
P01186458
RR MEDICARE
TX
Enumeration date
07/17/2006
Last updated
01/20/2023
Update your record
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