| Daniel Pham Md Pc | |
|
5104 S Sooner Rd Oklahoma City OK 73135-5440 | |
| (405) 736-0149 | |
| (405) 737-1346 |
| Full Name | Daniel Pham Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5104 S Sooner Rd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Daniel H Pham (PHYSICIAN/ OWNER) |
| Authorized Official Contact | 4057360149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Pham Md Pc Po Box 5934 Norman OK 73070-5934 Ph: (405) 736-0149 | Daniel Pham Md Pc 5104 S Sooner Rd Oklahoma City OK 73135-5440 Ph: (405) 736-0149 |
| NPI Number | 1346589397 |
|---|---|
| Provider Enumeration Date | 02/12/2013 |
| Last Update Date | 02/12/2013 |
| Medicare PECOS PAC ID | 5294971578 |
|---|---|
| Medicare Enrollment ID | O20130410000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346589397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36781 (Oklahoma) | Primary |
| Provider Name | Daniel Hoang Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114123114 PECOS PAC ID: 7810040490 Enrollment ID: I20090729000476 |
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