Michelle Pham, is a
Student In An Organized Health Care Education/training Program based in Syracuse, New York. Michelle Pham is licensed to practice in * (Not Available) (license number ) and her current practice location is
1419 Salt Springs Rd, Syracuse, New York. She can be reached at her office (for appointments etc.) via phone at
(267) 416-2319.
NPI number for Michelle Pham is 1871353565 and her current mailing address is 1419 Salt Springs Rd, Syracuse, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871353565.
Provider's Profile
| Full Name | Michelle Pham |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1419 Salt Springs Rd, Syracuse, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871353565
- Provider Enumeration Date: 03/20/2024
- Last Update Date: 12/23/2025
Medical Identifiers
Medical identifiers for Michelle Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871353565 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 035032 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Pham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michelle Pham,
1419 Salt Springs Rd,
Syracuse, NY 13214-1301
Ph: (267) 416-2319 | Michelle Pham,
1419 Salt Springs Rd,
Syracuse, NY 13214-1301
Ph: (267) 416-2319 |
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