| Pham Internal Medicine | |
|
6408 Seven Corners Pl Ste F Falls Church VA 22044-2011 | |
| (703) 533-7673 | |
| Not Available |
| Full Name | Pham Internal Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 6408 Seven Corners Pl Ste F, Falls Church, Virginia |
| Authorized Official Name and Position | Nick Pham (PRESIDENT) |
| Authorized Official Contact | 7035337673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pham Internal Medicine Po Box 2782 Fairfax VA 22031-0782 Ph: (703) 533-7673 | Pham Internal Medicine 6408 Seven Corners Pl Ste F Falls Church VA 22044-2011 Ph: (703) 533-7673 |
| NPI Number | 1134480726 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 05/31/2012 |
| Medicare PECOS PAC ID | 7012164890 |
|---|---|
| Medicare Enrollment ID | O20120830000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134480726 | NPI | - | NPPES |
| 1801082508 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101244284 (Virginia) | Primary |
| Provider Name | Nick M Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801082508 PECOS PAC ID: 0547313199 Enrollment ID: I20090730000181 |
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