Pham, Thao Phuong

Pham, Thao Phuong is an individual health care provider with primary practice located at 15717 15 Mile Rd , Clinton Twp MI 48035-2101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pham, Thao Phuong can be contacted via phone (586) 285-3800.

Contact Information

Primary practice address
15717 15 Mile Rd Clinton Twp MI 48035-2101
Phone: (586) 285-3800
Fax: (586) 285-3818
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101014259 Michigan

Profile Details

NPI number 1093767683
LBN Legal business name Pham, Thao Phuong
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 18th, 2021 - about 5 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 1093767683 NPPES
Michigan Other 1022812 MHP HAN INDIVIDUAL
Michigan MEDICAID 4474588 MHP HAN INDIVIDUAL
Michigan MEDICAID 4963661 MHP HAN INDIVIDUAL
Michigan Other 700E012740 MHP HAN INDIVIDUAL
Michigan Other 1022851 MHP HAN INDIVIDUAL
Michigan Other 080D410020 MHP HAN INDIVIDUAL
Michigan MEDICAID 4474579 MHP HAN INDIVIDUAL
Michigan MEDICAID 4474597 MHP HAN INDIVIDUAL

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