Andy D Pham, PA
Physician Assistant in Revere, Massachusetts
1790418044- Practice location
- 73 Caruso St, Revere, MA 02151-2811
- Phone
- 617-777-4001
- Fax
- —
- Last updated
- July 14, 2023
Andy Duy Pham is a Physician Assistant based in Revere, MA. Andy Duy Pham practices in Revere, MA and has the professional credentials of PA. The NPI Number for Andy Duy Pham is 1790418044 and holds a License No. PA9427 (MA). The current practice location address for Andy Duy Pham is 73 Caruso St, Revere, MA 02151-2811 and can be reached out via phone at 617-777-4001.
Provider Profile Details
- NPI Number
- 1790418044
- Provider Name
- Andy Duy Pham
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 73 Caruso St, Revere, MA 02151-2811
- Phone Number
- 617-777-4001
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 5, 2022
- Last Update Date
- July 14, 2023
- Certification Date
- July 14, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 73 Caruso St
Revere, MA 02151-2811 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-2811
- Phone Number
- 617-777-4001
Provider Business Mailing Address Details
- Address
- 73 Caruso St
Revere, MA 02151-2811 - City
- Revere
- State
- MA
- Zip
- 02151-2811
- Phone Number
- 617-777-4001
License Information
- License Number
- PA9427
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Andy D Pham, PA?
The NPI number of Andy D Pham, PA is 1790418044. It was assigned on July 5, 2022 and is currently active in the NPPES registry.
What is the specialty of Andy D Pham, PA?
Andy D Pham, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA9427.
Where does Andy D Pham, PA practice?
The practice location is 73 Caruso St, Revere, MA 02151-2811. The office can be reached at 617-777-4001 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790418044 directly on the NPPES registry website.