| Phat P Pham, MD | |
|
112 Columbia Point Dr Ste 103, Richland, WA 99352-4390 | |
| (509) 747-6707 | |
| Not Available |
| Full Name | Phat P Pham |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 112 Columbia Point Dr Ste 103, Richland, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194761312 | NPI | - | NPPES |
| Entity Name | The Milton S Hershey Medical Center Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741 |
| Entity Name | Stc Pediatrics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254 |
| Mailing Address | Practice Location Address |
|---|---|
| Phat P Pham, MD Po Box 421, Liberty Lake, WA 99019-0421 Ph: (509) 747-6707 | Phat P Pham, MD 112 Columbia Point Dr Ste 103, Richland, WA 99352-4390 Ph: (509) 747-6707 |
Frances Dernbach, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 925 Stevens Dr, Ste. 3a, Richland, WA 99352 Phone: 509-946-6565 Fax: 509-946-0998 | |
Nitish Jagpal, Pediatrics Medicare: Medicare Enrolled Practice Location: 829 Goethals Dr, Richland, WA 99352 Phone: 509-547-2204 Fax: 509-542-8836 | |
Stephanie M Charron, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1135 Jadwick Ave, Richland, WA 99352 Phone: 509-942-3300 Fax: 509-946-1868 | |
Mrs. Julie A Raekes, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 945 Goethals Dr Ste 300, Richland, WA 99352 Phone: 509-943-3196 Fax: 509-946-0455 | |
Dr. Santhosh Theyyil Somashekar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2185 | |
Dr. Gerald Charles Frey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 355 Rockwood Drive, Richland, WA 99352 Phone: 509-628-3961 |