Giao Pham, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

7360 Issued in KS

Practice address

7570 W 21St St N Ste 1006B
Wichita, KS 67205-1773

Phone

(316) 201-1202

Fax

(316) 201-1251

NPI assigned

May 18, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Redbud Pediatrics LLC

  • Pediatrics Physician
  • Wichita, KS
  • NPI 1255617833
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1497074355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 E 32ND ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264008",
            "telephone_number": "316-201-1202",
            "fax_number": "316-201-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N STE 1006B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051773",
            "telephone_number": "316-201-1202",
            "fax_number": "316-201-1251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8725 E 32nd St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672264008",
            "country_code": "US",
            "telephone_number": "316-201-1202",
            "fax_number": "316-201-1251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "GIAO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "7360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Phetsamone Phachantry, PHARMD
• Alan Pham
• Daisy Pham
• Diemkieu Pham
• Gennevieve T Pham, P.A
• Kaitlin Lynn Pham
• Kathy Pham
• Kevin Minh-Huy Pham, DMD
• Kimberly Hoang Pham
• Steven Pham, LPC

• Pediatrics Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.