Individual
DR. XUAN-DAO THI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 6TH AVE S, BIRMINGHAM, AL 35233-1502
(205) 933-9110
(205) 930-1156
Mailing address
1400 6TH AVE S, BIRMINGHAM, AL 35233-1502
(205) 933-9110
(205) 930-1156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00013448
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051081251
BLUE SHIELD
AL
05
—
113218
—
AL
01
—
1508887480
MEDICARE GROUP PAYEE NPI
AL
05
—
303729106
—
AL
01
—
510-66059
BLUE CROSS BLUE SHIELD
AL
01
—
G591
MEDICARE GROUP PAYEE PIN
AL
Enumeration date
03/16/2006
Last updated
02/18/2011
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