Individual
AN DUC PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-3584
(816) 932-5873
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 932-3584
(816) 932-5873
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2021035555
MO
207V00000X
Obstetrics & Gynecology Physician
A134482
CA
208M00000X
Hospitalist Physician
A134482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A134482
STATE MEDICAL LICENSE
CA
Enumeration date
04/10/2013
Last updated
10/25/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us