Provider Demographics
NPI:1902122922
Name:PHAM, HAO DUY (MD)
Entity type:Individual
Prefix:DR
First Name:HAO
Middle Name:DUY
Last Name:PHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6719 GOVERNOR GC PEERY HWY STE 2600
Mailing Address - Street 2:
Mailing Address - City:RICHLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:24641-0279
Mailing Address - Country:US
Mailing Address - Phone:276-596-6544
Mailing Address - Fax:276-596-6548
Practice Address - Street 1:6719 GOVERNOR GC PEERY HWY STE 2600
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:VA
Practice Address - Zip Code:24641
Practice Address - Country:US
Practice Address - Phone:276-596-6544
Practice Address - Fax:276-596-6548
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-15
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01012639302086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty