Provider Demographics
NPI:1285950253
Name:PHAM, STEVE (MD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:PHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2433 WARRING ST
Mailing Address - Street 2:APT 6
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-2501
Mailing Address - Country:US
Mailing Address - Phone:412-818-5738
Mailing Address - Fax:
Practice Address - Street 1:2433 WARRING ST
Practice Address - Street 2:APT 6
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2501
Practice Address - Country:US
Practice Address - Phone:412-818-5738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-15
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY275291207P00000X
CAA132658207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine