Provider Demographics
NPI:1427143189
Name:PHAM, SILVIA C (MD)
Entity type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:C
Last Name:PHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 SARATOGA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-3402
Mailing Address - Country:US
Mailing Address - Phone:408-243-6911
Mailing Address - Fax:408-243-6941
Practice Address - Street 1:1060 SARATOGA AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-3402
Practice Address - Country:US
Practice Address - Phone:408-243-6911
Practice Address - Fax:408-243-6941
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA42558146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF21633Medicare UPIN