| Mr Lan N Pham, MD | |
|
1615 Delaware St, Longview, WA 98632-2367 | |
| (360) 501-3601 | |
| (360) 501-3648 |
| Full Name | Mr Lan N Pham |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 29 Years |
| Location | 1615 Delaware St, Longview, Washington |
| 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 |
|---|---|---|---|
| 1548264252 | NPI | - | NPPES |
| 0256048 | Other | WA | WASHINGTON DOL |
| 8248452 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00037318 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth St John Medical Center | Longview, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 5890689293 | 181 |
| Entity Name | South Sound Inpatient Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lan N Pham, MD 1115 Se 164th Ave, Dept. 358, Vancouver, WA 98683-9324 Ph: (360) 729-1462 | Mr Lan N Pham, MD 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 501-3601 |
Yoon Hee Amy Chang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7800 | |
Alexander Shar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7878 Fax: 360-414-7876 | |
Mr. Anawin Sanguankeo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Lyudmila E Kruzhkov, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 | |
Dr. Sahar Taqui, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 | |
James J Nakashima, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2700 Fax: 360-414-2714 | |
Gaurav Gandhi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 Fax: 360-414-5768 |