Provider Demographics
NPI:1417586504
Name:PHAM, NHA-HAN NGUYEN (DO)
Entity Type:Individual
Prefix:
First Name:NHA-HAN
Middle Name:NGUYEN
Last Name:PHAM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 ARLINGTON BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3018
Mailing Address - Country:US
Mailing Address - Phone:703-531-2244
Mailing Address - Fax:571-665-6876
Practice Address - Street 1:6565 ARLINGTON BLVD STE 500
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3018
Practice Address - Country:US
Practice Address - Phone:703-531-2244
Practice Address - Fax:571-665-6876
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-02
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102207751207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty