| Matthew Pham Md Pc | |
|
500 N Rainbow Blvd Suite 300 Las Vegas NV 89107-1082 | |
| (702) 450-1717 | |
| (702) 947-6740 |
| Full Name | Matthew Pham Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 N Rainbow Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Matthew Pham (OWNER) |
| Authorized Official Contact | 7024501717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Pham Md Pc 500 N Rainbow Blvd Suite 300 Las Vegas NV 89107-1082 Ph: (702) 450-1717 | Matthew Pham Md Pc 500 N Rainbow Blvd Suite 300 Las Vegas NV 89107-1082 Ph: (702) 450-1717 |
| NPI Number | 1912080797 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 05/20/2014 |
| Medicare PECOS PAC ID | 7012943327 |
|---|---|
| Medicare Enrollment ID | O20050708000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912080797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11052 (Nevada) | Primary |
| Provider Name | Matthew H Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003917055 PECOS PAC ID: 0042246308 Enrollment ID: I20050709000033 |
| Provider Name | Syed F Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265408041 PECOS PAC ID: 6103847108 Enrollment ID: I20051216000611 |
| Provider Name | Hamid T Haider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811011331 PECOS PAC ID: 8325129653 Enrollment ID: I20080114000004 |
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