THIEN DAN PHAT PHAM NPI 1528795622

NPI Information

  • NPI: 1528795622
  • Provider Name: THIEN DAN PHAT PHAM
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1500 N RENAISSANCE BLVD NE STE C
    ALBUQUERQUE, NM
    ZIP 87107
  • Phone: (505) 266-5565

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NPI Details

Thien Dan Phat Pham is a medical physician assistant in Albuquerque, NM with 2 years of experience. Thien Dan Phat Pham NPI is 1528795622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 N RENAISSANCE BLVD NE STE C
ALBUQUERQUE, NM
ZIP 87107-002
Phone: (505) 266-5565

The NPI 1528795622 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/8/2022 and was last updated on 12/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA2024-0083NEW MEXICONo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3363AM0700XPhysician AssistantMedicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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