Pham, Annette M
Pham, Annette M is an individual health care provider with primary practice located at 3204 Tower Oaks Blvd Ste 400 , Rockville MD 20852-4250. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Pham, Annette M can be contacted via phone (301) 315-0003.Contact Information
Primary practice address
3204 Tower Oaks Blvd Ste 400
Rockville MD 20852-4250
Phone: (301) 315-0003
Fax: (301) 315-0002
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | ME98443 | Florida |
Other Service Providers / Specialist | 174400000X | D68124 | Maryland |
Other Service Providers / Specialist | 174400000X | A87280 | California |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | D68124 | Maryland |
Profile Details
NPI number | 1013991884 |
---|---|
LBN Legal business name | Pham, Annette M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 5th, 2005 |
Last updated | Jun 6th, 2020 - about 4 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 | 1013991884 | NPPES |
Maryland | MEDICAID | 020467600 | |
Maryland | Other | 1013991884 |
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