Tom Pham
MD | Pediatric Emergency Medicine | Male
Tom Pham, MD is a New Berlin, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Tom Pham is
4855 S Moorland Rd Fl 3, New Berlin, Wisconsin - 53151-7494. He can be contacted on phone at
262-432-7599 and fax number 262-432-7694.
Tom Pham is a sole proprietor of his business.
NPI number (Unique professional ID) for Tom Pham is
1366939795 which was assigned by NPPES on 20 Apr, 2018 and it was last updated on 19 Dec, 2022.
Tom Pham license number is
T7331 for Pediatrics, Pediatric Emergency Medicine (2080P0204X) in Texas.
Tom Pham has special qualifications to manage emergencies in infants and children.
Complete Profile:
Tom Pham basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Emergency Medicine |
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| Provider Name : | Tom Pham |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Tom Pham address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4855 S Moorland Rd Fl 3
New Berlin, WI, 53151-7494
United States |
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| Phone Number : | 262-432-7599 |
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| Fax Number : | 262-432-7694 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1366939795 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Apr, 2018 |
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| Last Updated On : | 19 Dec, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tom Pham are as mentioned. Primary taxonomy code for Tom Pham, MD is
2080P0204X (Pediatrics, Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 75525 | WI |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | Yes | T7331 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Tom Pham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1366939795 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 845347
Dallas, TX, 75284-5347
United States |
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| Phone Number : | 214-476-8559 |
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Business Location:
Patients can refer following map for directions to
Tom Pham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.