Tan T Pham, MD | |
39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | |
(510) 795-3000 | |
Not Available |
Full Name | Tan T Pham |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 39400 Paseo Padre Pkwy, Fremont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689759359 | NPI | - | NPPES |
00A729830 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A72983 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Tan T Pham, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Tan T Pham, MD 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 795-3000 |
Dr. Lakshmi Srinivasan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Kearney St, Fremont, CA 94538 Phone: 510-490-1222 | |
Srilata Raman, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-248-3623 | |
Hannelore Mohr, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000 | |
Frederick G. Hom, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000 | |
Dr. Michael Andre Lenoir, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3448 Mowry Ave, Fremont, CA 94538 Phone: 510-373-3000 Fax: 844-965-9795 | |
Julie Yue Zhou, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000 | |
Soham P Jhaveri, Do, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Kearney St, Fremont, CA 94538 Phone: 510-490-1222 |