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DR. DAT CAO PHAM MD NPI 1659332831


NPI Information

NPI: 1659332831
Provider Name: DR. DAT CAO PHAM, MD
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

Organization: BAPTIST-SOUTHEAST GYNECOLOGIC ONCOLOGY ASSOCIATES INC

PECOS Registration: Yes

Address:
1301 PALM AVE
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 202-7300
Get Directions

DR. Dat Cao Pham, MD is a medical oncology internal medicine in Jacksonville, FL with 27 years of experience. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. DR. Dat Cao Pham, MD NPI is 1659332831. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:1997

The provider's business location address is:

1301 PALM AVE
JACKSONVILLE, FL
ZIP 32207-432
Phone: (904) 202-7300
Fax: (904) 202-7433

The NPI 1659332831 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 3/29/2006 and was last updated on 11/24/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineME76623FLORIDANo
2207RX0202XInternal MedicineMedical OncologyME76623FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000948868AMEDICAIDGEORGIA
22642018-00MEDICAIDFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.