Pham, Vuong-Lam

Pham, Vuong-Lam is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pham, Vuong-Lam can be contacted via phone (601) 815-1292.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-1292
Fax: (601) 984-5110
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X T-2999 Mississippi

Profile Details

NPI number 1518351626
LBN Legal business name Pham, Vuong-Lam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2015
Last updated Sep 10th, 2015 - about 10 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 1518351626 NPPES
Mississippi MEDICAID 08670521

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