Individual
DR. THANH-HA PHAM
Active
Individual
DR. THANH-HA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101244710
VA
207R00000X
Internal Medicine Physician
22163
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001788654
BLUE CROSS BLUE SHIELD
WV
05
—
3810004094
—
WV
01
—
C06695
GROUP PTAN
VA
Enumeration date
09/20/2006
Last updated
12/29/2009
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