Pham, Trey Quang

Pham, Trey Quang is an individual health care provider with primary practice located at 2020 Palomino Lane # 100, Las Vegas NV 89106-4894. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pham, Trey Quang can be contacted via phone (702) 759-8600.

Contact Information

Primary practice address
2020 Palomino Lane # 100 Las Vegas NV 89106-4894
Fax: (702) 384-1815
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13907 Nevada

Profile Details

NPI number 1659559334
LBN Legal business name Pham, Trey Quang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2008
Last updated Jun 27th, 2013 - about 12 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 1659559334 NPPES
Arizona MEDICAID 623382
Arizona MEDICAID 1659559334
Arizona MEDICAID 1659559334
Arizona Other P01168769

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