Luan Pham (NPI# 1871507400, PAC ID# 3476654377) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1871507400 |
| PAC ID by PECOS | 3476654377 |
| Professional Enrollment ID | I20070723000205 |
| Full Name | Luan Pham |
| Address |
9936 Florida Blvd B Baton Rouge LA 70815-1402 |
| Phone Number | 2259278772 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| 190065 | BATON ROUGE GENERAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9936 Florida Blvd, B, Baton Rouge, LA 70815-1402 | 2259278772 |
| Street Address |
9936 FLORIDA BLVD B |
| City | BATON ROUGE |
| State | LA |
| Zip | 70815-1402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Xuong T Dao | Internal Medicine | 12389 Florida Blvd, Baton Rouge, LA 70815-2710 | |
| Ronald Andrews | Internal Medicine | 8894 Airline Hwy, Suite Q, Baton Rouge, LA 70815-4081 | |
| Mechele D Evans | Clinical Social Worker | 1082 Havenwood Dr, Baton Rouge, LA 70815-6730 |
| City | BATON ROUGE |
| Zip Code | 70815 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BATON ROUGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Luan Pham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.