Provider Demographics
NPI:1831835008
Name:PHAM, VI XUAN
Entity type:Individual
Prefix:
First Name:VI
Middle Name:XUAN
Last Name:PHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9124 TUSCAN VALLEY PL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-7581
Mailing Address - Country:US
Mailing Address - Phone:407-770-9022
Mailing Address - Fax:
Practice Address - Street 1:9124 TUSCAN VALLEY PL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-7581
Practice Address - Country:US
Practice Address - Phone:407-770-9022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program