| Dr Kiemanh Pham, MD | |
|
5801 Smith Ave, Suite 3220, Baltimore, MD 21209-3652 | |
| (410) 735-6403 | |
| (410) 735-6425 |
| Full Name | Dr Kiemanh Pham |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 20 Years |
| Location | 5801 Smith Ave, Baltimore, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194971374 | NPI | - | NPPES |
| 025242500 | Medicaid | MD | |
| D69427 | Other | MD | MD LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | D69427 (Maryland) | Primary |
| 207P00000X | Emergency Medicine | A99032 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Multicare Auburn Medical Center | Auburn, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cascade Emergency Physicians Inc | 8527955871 | 19 |
| Entity Name | Cascade Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225060734 PECOS PAC ID: 8527955871 Enrollment ID: O20040302000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kiemanh Pham, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: () - | Dr Kiemanh Pham, MD 5801 Smith Ave, Suite 3220, Baltimore, MD 21209-3652 Ph: (410) 735-6403 |
Ankita Taneja, MD, MPH Emergency Medicine Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-2079 | |
Scott Mcpherson, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Saint Paul Pl, Baltimore, MD 21202 Phone: 410-332-9809 | |
Larry Weiss, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-4383 | |
Shannon Brandy Putman, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-2280 | |
Arjun S Chanmugam, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-2280 | |
Dr. Donald W Alves, MD, MS, FACEP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1201 Reisterstown Road, Medical Services, Baltimore, MD 21208 Phone: 410-653-8366 Fax: 410-653-4290 | |
Michael Rayner Leedom, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Emergency Dept, Baltimore, MD 21201 Phone: 410-328-8025 Fax: 410-328-8028 |