Pham, Trung H
Pham, Trung H is an sole proprietor health care provider with primary practice located at 5415 Old Court Rd Suite 102, Randallstown MD 21133-5103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pham, Trung H can be contacted via phone (410) 701-4600.Contact Information
Primary practice address
5415 Old Court Rd Suite 102
Randallstown MD 21133-5103
Phone: (410) 701-4600
Fax: (410) 701-4481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0047704 | Maryland |
Profile Details
| NPI number | 1669491999 |
|---|---|
| LBN Legal business name | Pham, Trung H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Oct 15th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669491999 | NPPES |
| Maryland | Other | 450P | MEDICARE GROUP PTAN |
| Maryland | MEDICAID | 484802100 | MEDICARE GROUP PTAN |
| Maryland | Other | 450P881G | MEDICARE GROUP PTAN |
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