| Tuong Van Pham, | |
|
4601 Dale Rd, Modesto, CA 95356-9718 | |
| (209) 735-5000 | |
| Not Available |
| Full Name | Tuong Van Pham |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 4601 Dale Rd, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245722495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A186646 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| 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 |
|---|---|
| Tuong Van Pham, 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 735-5000 | Tuong Van Pham, 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 735-5000 |
John Joseph Gallo, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3800 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000 | |
Phillip Michael Chan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Emergency Department, Modesto, CA 95350 Phone: 650-388-6383 | |
Dr. Paul Anthony Raykov, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-5000 | |
Gregory P. Bowerman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7600 | |
Christopher Samuel Lau, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-6810 | |
Sushma V Shah, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4301 N Star Way, Modesto, CA 95356 Phone: 209-342-2300 Fax: 209-524-4240 | |
Dr. Asit R. Gokli, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 Scenic Dr, Suite 200, Modesto, CA 95350 Phone: 209-236-0676 Fax: 209-236-0682 |