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

Dr. Theresa Xuan Pham, MD

Individual provider Diagnostic Radiology Physician · NPI 1093212003

Dr. Theresa Xuan Pham, MD is a Diagnostic Radiology in Durham, North Carolina. Graduated from University of Utah School of Medicine in 2018, 8 years ago. Practices with Boise Radiology Group PLLC, a 63-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho, North Carolina and Utah.

Years since qualifying
8
Trained at
University of Utah School of Medicine
Licensed in
ID, NC, UT
In the registry since
2018
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

2301 Erwin Rd
Durham, NC 27705-4699
Phone: (919) 684-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 190 E Bannock St, Boise, ID 83712 — (208) 381-2094

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2023-00041 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 11414332-1205 (UT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 1093212003 (ID)

Record details

NPI number1093212003
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2018
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Boise Radiology Group Pllc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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