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

Luong Phan, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144971847

Luong Phan, DPM is a Student in an Organized Health Care Education/Training Program in Utica, New York. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

120 Hobart St
Utica, NY 13501-4308
Phone: (315) 798-1149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1144971847
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJanuary 13, 2022
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address111 Hospital Dr, Utica, NY 13502-2517

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