Provider Demographics
NPI:1376506550
Name:PHAM, HIEN THI (MD)
Entity Type:Individual
Prefix:DR
First Name:HIEN
Middle Name:THI
Last Name:PHAM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:804 E JULIAN ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-1809
Mailing Address - Country:US
Mailing Address - Phone:408-288-9826
Mailing Address - Fax:408-288-9760
Practice Address - Street 1:804 E JULIAN ST
Practice Address - Street 2:SUITE D
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-1809
Practice Address - Country:US
Practice Address - Phone:408-288-9826
Practice Address - Fax:408-288-9760
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2011-10-07
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Provider Licenses
StateLicense IDTaxonomies
CAG48282207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine