Provider Demographics
NPI:1447785670
Name:PHAM, TUAN ANH (MD)
Entity type:Individual
Prefix:
First Name:TUAN
Middle Name:ANH
Last Name:PHAM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1923 S UTICA AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-6520
Mailing Address - Country:US
Mailing Address - Phone:918-403-7089
Mailing Address - Fax:918-744-2946
Practice Address - Street 1:800 W BOISE CIR STE 160
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-4932
Practice Address - Country:US
Practice Address - Phone:918-994-9160
Practice Address - Fax:918-403-6306
Is Sole Proprietor?:No
Enumeration Date:2017-04-25
Last Update Date:2025-08-14
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Provider Licenses
StateLicense IDTaxonomies
OK33096207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine