Minh Van Pham MD Inc PS

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0021481 Issued in WA

Legal business name

MINH VAN PHAM MD INC PS

Practice address

5401 Rainier Ave S
Seattle, WA 98118-2438

Phone

(206) 722-6268

Fax

(206) 725-5435

NPI assigned

Apr 5, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Minh Van Pham, M.D.

Title

General Practice MD

Phone

(206) 722-6268

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MINH VAN PHAM Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tuan D Nguyen, MD

  • Family Medicine Physician
  • Covington, WA
  • NPI 1669486445
  NPD (past)

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406332800000",
    "number": "1649569146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182438",
            "telephone_number": "206-722-6268",
            "fax_number": "206-725-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182438",
            "telephone_number": "206-722-6268",
            "fax_number": "206-725-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINH VAN PHAM MD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2014-07-26",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "GENERAL PRACTICE MD",
        "authorized_official_telephone_number": "206-722-6268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "0021481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038181",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINH VAN PHAM",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mauri N. Miner, P.T.
• Ross Kapowich Miner, PA-C
• David G Minetti, RN
• Ming Xiao, D.C., Inc.
• Tarynne Lucia Mingione, RD
• Christina Minh, CP, LP
• Amrit Minhas
• Hina Minhas, OTR
• Parminder K. Minhas, ARNP
• Mendyann Boettcher Minjarez, PH.D.

• Primary Care Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; 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.