Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Thach Pham, MD

Individual provider Surgery Physician · NPI 1518137223

Dr. Thach Pham, MD is a General Surgery in Providence, Rhode Island. Graduated from Drexel University College of Medicine in 2006, 20 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, New Hampshire and Rhode Island.

Years since qualifying
20
Trained at
Drexel University College of Medicine
Licensed in
CA, NH, RI
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2 Dudley St Ste 470
Providence, RI 02905-3248
Phone: (401) 553-8353
Fax: (401) 868-2308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Landstuhl Regional Medical Center, Apo, AE 09180-3100 — (314) 590-5096

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD20757 (RI)
Surgery Physician Taxonomy 208600000X · Licence 16605 (NH)
Surgery Physician Taxonomy 208600000X · Licence C145443 (CA)

Record details

NPI number1518137223
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 10, 2008
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing addressLandstuhl Regional Medical Center, Unit 33100, Apo, AE 09180-3100

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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