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

Khoa Pham

Individual provider Family Nurse Practitioner · NPI 1659810117

Khoa Pham is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2016, 10 years ago. Practices with Phoenix Neurological Institute, Inc, a 22-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2017
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Practice location Address checks out

3811 E Bell Rd Ste 111
Phoenix, AZ 85032-2158
Phone: (480) 985-1093
Fax: (480) 296-7665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 40 S Kyrene Rd Ste 3, Chandler, AZ 85226-4675 — (480) 444-7480

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP9906 (AZ)

Record details

NPI number1659810117
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 16, 2017
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Phoenix Neurological Institute, Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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