person
Thao H Pham, MD
Allergy Physician in Elizabethtown, Kentucky
NPI 1336140698

Thao H Pham is an Allergy Physician based in Elizabethtown, KY and is specialized in Allergy. Thao H Pham practices in Elizabethtown, KY and has the professional credentials of MD. The NPI Number for Thao H Pham is 1336140698 and holds a License No. 37275 (Kentucky).

The current practice location address for Thao H Pham is 914 N Dixie Ave, Elizabethtown, KY and can be reached out via phone at 270-765-6149 and via fax at 270-737-5235. You can also correspond with Thao H Pham through the mailing address at 914 N DIXIE AVE, ELIZABETHTOWN, KY - 42701-2520 (mailing address contact number: 270-765-6149).

Location: 914 N Dixie Ave, Elizabethtown, KY, 42701-2520
person
Provider Profile Details
NPI Number
1336140698
Provider Name
Thao H Pham
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
914 N Dixie Ave, Elizabethtown, KY, 42701-2520
Phone Number
270-765-6149
Fax Number
270-737-5235
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50001581 01 KY PASSPORT HEALTH PLAN
000000301574 01 KY ANTHEM BCBS
2649647000 01 KY PASSPORT ADVANTAGE
64062102 05 KY
institution
Provider Business Practice Location Address Details
Address
914 N Dixie Ave
City
State
Zip
42701-2520
Phone Number
270-765-6149
Fax Number
270-737-5235
person
Provider Business Mailing Address Details
Address
914 N Dixie Ave
City
State
Zip
42701-2520
Phone Number
270-765-6149
Fax Number
270-737-5235
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
37275 (Kentucky)
Definition
Definition to come...
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