Pham, Tien Q.

Pham, Tien Q. is an individual health care provider with primary practice located at 1150 Veterans Blvd , Redwood City CA 94063-2037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Pham, Tien Q. can be contacted via phone (650) 299-2000.

Contact Information

Primary practice address
1150 Veterans Blvd Redwood City CA 94063-2037
Phone: (650) 299-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G59203 California

Profile Details

NPI number 1225116874
LBN Legal business name Pham, Tien Q.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 22nd, 2021 - about 3 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 1225116874 NPPES
California MEDICAID 00G592030

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