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

Khanh Phung

Individual provider Internal Medicine Physician · NPI 1053704593

Khanh Phung is an Internal Medicine in Philadelphia, Pennsylvania. Graduated from West Virginia School of Osteopathic Medicine in 2015, 11 years ago. Practices with Trinity Health Mid-Atlantic Medical Group, a 357-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
11
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
PA
In the registry since
2015
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Practice location Address checks out

1407 Rhawn St
Philadelphia, PA 19111-2803
Phone: (267) 957-7027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2601 Holme Ave, Philadelphia, PA 19152-2007 — (267) 957-7027

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OS024157 (PA)

Record details

NPI number1053704593
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 9, 2015
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice Trinity Health Mid-Atlantic Medical Group — 357 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Philadelphia