Pham, Khanh Ngoc

Pham, Khanh Ngoc is an individual health care provider with primary practice located at 1135 116Th Ave Ne Ste 620 , Bellevue WA 98004-4636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Pham, Khanh Ngoc can be contacted via phone (425) 454-8016.

Contact Information

Primary practice address
1135 116Th Ave Ne Ste 620 Bellevue WA 98004-4636
Fax: (425) 453-2827
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD60337799 Washington

Profile Details

NPI number 1538331665
LBN Legal business name Pham, Khanh Ngoc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2008
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538331665 NPPES
Washington MEDICAID 2030225

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