Provider Demographics
NPI:1184792418
Name:PHAM, DAO GIA (MD)
Entity type:Individual
Prefix:
First Name:DAO
Middle Name:GIA
Last Name:PHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:406 S 30TH AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3713
Mailing Address - Country:US
Mailing Address - Phone:509-248-7715
Mailing Address - Fax:509-248-2890
Practice Address - Street 1:406 S 30TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3713
Practice Address - Country:US
Practice Address - Phone:509-248-7715
Practice Address - Fax:509-248-2890
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2022-02-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101243385207RC0000X
IA38878207RC0000X, 207RC0001X
FLTRN9060207RC0000X
WAMD00047597207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease