Kenneth T Phan (NPI# 1336250836, PAC ID# 8426057464) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1336250836 |
| PAC ID by PECOS | 8426057464 |
| Professional Enrollment ID | I20061220000342 |
| Full Name | Kenneth T Phan |
| Address |
150 N Jackson Ave Suite 209 San Jose CA 95116-1908 |
| Gender | M |
| Credential | MD |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 150 N Jackson Ave, Suite 209, San Jose, CA 95116-1908 |
| Street Address |
150 N JACKSON AVE SUITE 209 |
| City | SAN JOSE |
| State | CA |
| Zip | 95116-1908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Addison Kline | General Surgery | Acute Care Surgery Medical Group Inc | 150 N Jackson Ave, Suite 100, San Jose, CA 95116-1908 |
| Gloria A Jimenez | General Surgery | Acute Care Surgery Medical Group Inc | 150 N Jackson Ave, Suite 100, San Jose, CA 95116-1908 |
| Dana L Forman | General Surgery | Acute Care Surgery Medical Group Inc | 150 N Jackson Ave, Suite 100, San Jose, CA 95116-1908 |
| Christopher Norton Traver | General Surgery | Acute Care Surgery Medical Group Inc | 150 N Jackson Ave, Suite 100, San Jose, CA 95116-1908 |
| Jaco Fishenfeld | Internal Medicine | 150 N Jackson Ave, Suite 105, San Jose, CA 95116-1908 | |
| Kunjan S Bhakta | General Surgery | Acute Care Surgery Medical Group Inc | 150 N Jackson Ave, Suite 100, San Jose, CA 95116-1908 |
| Bailey Sudinrda Vittal | Gastroenterology | Sudin Vittal Md Inc | 150 N Jackson Ave, Suite 107, San Jose, CA 95116-1992 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duc M Nguyen | Chiropractic | 1610 Mckee Rd, Suite 20, San Jose, CA 95116-1259 | |
| Tuyen N Ngo | Physical Medicine and Rehabilitation | 1865 Alum Rock Ave, Suite A, San Jose, CA 95116-1396 | |
| Chau M Huynh | Internal Medicine | 1865 Alum Rock Ave, Suite B, San Jose, CA 95116-1396 | |
| Giao V Vu | Obstetrics/gynecology | 1863 Alum Rock Ave D, San Jose, CA 95116-1397 | |
| Them Huynh | General Practice | 1855 Alum Rock Ave, Suite C, San Jose, CA 95116-1398 | |
| Dong T Vo | Neurology | 1855 Alum Rock Ave, Suite A 1, San Jose, CA 95116-1398 | |
| Greta Heidi Liebelt | Nurse Practitioner | County of Santa Clara | 1993 Mckee Rd, San Jose, CA 95116-1406 |
| Dwight D Lim | Internal Medicine | County of Santa Clara | 1991 Mckee Rd, San Jose, CA 95116-1406 |
| Luis Jesus Rodriguez | Clinical Social Worker | County of Santa Clara | 1991 Mckee Rd, San Jose, CA 95116-1406 |
| An D Nguyen | Psychiatry | County of Santa Clara | 1991 Mckee Rd, San Jose, CA 95116-1406 |
| Find all physicians in zip 95116 | |||
| City | SAN JOSE |
| Zip Code | 95116 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SAN JOSE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Kenneth T Phan.
| 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.