Individual provider · Type 1 NPI
Thao Kim Pham, PA-C
Medical Physician Assistant · Engelhard, NC
NPI number
1366015448
Active
Practice location
33270 US Highway 264
Engelhard, NC 27824-9557
Fax (252) 925-7700
Mailing address
PO Box 277
Engelhard, NC 27824-0277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0010-11951 (NC) |
Medical Physician Assistant: Definition to come...
About NPI 1366015448
Thao Kim Pham, PA-C's National Provider Identifier is 1366015448, issued on Jul 19, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Engelhard, NC. The record was last updated on Aug 28, 2025.