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
Fax: (301) 315-0002
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013991884 NPPES
Maryland MEDICAID 020467600
Maryland Other 1013991884

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