Pham, Thong Quoc
Pham, Thong Quoc is an individual health care provider with primary practice located at 5885 Sunnybrook Dr Suite L-200, Sioux City IA 51106-4203. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Pham, Thong Quoc can be contacted via phone (712) 239-4702.Contact Information
Primary practice address
5885 Sunnybrook Dr Suite L-200
Sioux City IA 51106-4203
Phone: (712) 239-4702
Fax: (712) 224-5898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | MD-37909 | Iowa |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 24761 | Nebraska |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 36077772 | Illinois |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 36077772 | Illinois |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 36077772 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 36077772 | Illinois |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 7294 | South Dakota |
Profile Details
| NPI number | 1538188057 |
|---|---|
| LBN Legal business name | Pham, Thong Quoc |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Oct 15th, 2015 - about 9 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 | 1538188057 | NPPES |
| Illinois | MEDICAID | 036077772 1 | |
| Illinois | Other | 101 15504 | |
| Illinois | MEDICAID | 1538188057 | |
| Illinois | Other | CB0709/060028732 |
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