Individual provider · Type 1 NPI

Kasmire Bao-Tran M. Pham, RN, NP STUDENT

Geriatric Medicine (Family Medicine) Physician · Southfield, MI

NPI number 1699690727 Active

Practice location

21885 S Tuller Ct
Southfield, MI 48076-4836

Fax (248) 809-3696

Specialties and licenses

Taxonomy	Code	License
Geriatric Medicine (Family Medicine) Physician Primary	207QG0300X	4704325940 (MI)

Geriatric Medicine (Family Medicine) Physician: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

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About NPI 1699690727

Kasmire Bao-Tran M. Pham, RN, NP STUDENT's National Provider Identifier is 1699690727, issued on Aug 10, 2026. The primary taxonomy on file is Geriatric Medicine (Family Medicine) Physician (207QG0300X), and the practice location is in Southfield, MI. The record was last updated on Aug 10, 2026.