Individual
SEAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6355 WALKER LN STE 500, ALEXANDRIA, VA 22310-3251
(703) 797-6970
(703) 922-3479
Mailing address
6355 WALKER LN STE 500, ALEXANDRIA, VA 22310-3251
(703) 797-6970
(703) 922-3479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101258473
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
05/09/2012
Last updated
10/04/2021
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