Pham, Thao H

Pham, Thao H is an individual health care provider with primary practice located at 914 N Dixie Ave Suite 100, Elizabethtown KY 42701-2520. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Pham, Thao H can be contacted via phone (270) 765-6149.

Contact Information

Primary practice address
914 N Dixie Ave Suite 100 Elizabethtown KY 42701-2520
Phone: (270) 765-6149
Fax: (270) 737-5235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 37275 Kentucky

Profile Details

NPI number 1336140698
LBN Legal business name Pham, Thao H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 7th, 2023 - about last year

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 1336140698 NPPES
Kentucky Other 50001581 PASSPORT HEALTH PLAN
Kentucky Other 000000301574 PASSPORT HEALTH PLAN
Kentucky Other 2649647000 PASSPORT HEALTH PLAN
Kentucky MEDICAID 64062102 PASSPORT HEALTH PLAN

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