Individual
HANG THANH THI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24075 COMMERCE PARK, BEACHWOOD, OH 44122-5846
(216) 831-5700
(216) 831-1959
Mailing address
24075 COMMERCE PARK, BEACHWOOD, OH 44122-5846
(216) 831-5700
(216) 831-1959
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35133143
OH
207W00000X
Ophthalmology Physician
51196
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0277051
—
OH
Enumeration date
03/25/2014
Last updated
06/28/2021
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