Pham, Tai D

Pham, Tai D is an individual health care provider with primary practice located at 2800 E Desert Inn Rd Ste 100 , Las Vegas NV 89121-3609. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Pham, Tai D can be contacted via phone (702) 731-1616.

Contact Information

Primary practice address
2800 E Desert Inn Rd Ste 100 Las Vegas NV 89121-3609
Phone: (702) 731-1616
Fax: (702) 734-4900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0325 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 689 Nevada

Profile Details

NPI number 1356321749
LBN Legal business name Pham, Tai D
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Oct 15th, 2018 - about 8 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 1356321749 NPPES
Nevada MEDICAID 100506022
Nevada Other Q40842

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