Dr Cuong C Pham, MD is a
Family Medicine physician based in Fort Supply, Oklahoma. Dr Cuong C Pham is licensed to practice in Oklahoma (license number 23839) and his current practice location is One William Key Blvd, Fort Supply, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 766-2224.
NPI number for Dr Cuong C Pham is 1891919270 and his current mailing address is 1104 N Doreen St, Wichita, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891919270.
Physician's Profile
| Full Name | Dr Cuong C Pham |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | One William Key Blvd, Fort Supply, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891919270
- Provider Enumeration Date: 04/13/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Cuong C Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891919270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 23839 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Cuong C Pham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Cuong C Pham, MD
1104 N Doreen St,
Wichita, KS 67206-3820
Ph: (316) 634-0491 | Dr Cuong C Pham, MD
One William Key Blvd,
Fort Supply, OK 73841-0061
Ph: (580) 766-2224 |
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