Ryan Pham, MD
Ryan Pham, MD is an Internal Medicine in Boise, Idaho. Qualified in 2019, 7 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Idaho.
- Years since qualifying
- 7
- Licensed in
- CA, ID
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
190 E Bannock StBoise, ID 83712-6241
Phone: (208) 381-5015
Fax: (208) 381-1873
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 1260 15th St, Santa Monica, CA 90404-1135 — (310) 656-1701
- 1260 15th St Ste 1501, Santa Monica, CA 90404-1150 — (310) 656-1701
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence A178169 (CA) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 8261674 (ID) |
Record details
| NPI number | 1154980829 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 6, 2019 |
| Last updated in NPPES | November 8, 2024 |
| Certification date | November 8, 2024 |
| Mailing address | 190 E Bannock St, Boise, ID 83712-6241 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | St Lukes Clinic-Treasure Valley Llc — 1150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Boise
-
Dr. Sherena Ann Perry, DO, MA
190 E Bannock St, Boise, ID 83712-6241 · (208) 381-1615
-
Dr. Michael Pestotnik, MD
500 W Fort St #111R, Boise, ID 83702 · (208) 422-1314
-
Ester Peters, DO
4840 N Cloverdale Rd, Boise, ID 83713-2423 · (208) 706-8000
-
Anna Jeannette Peterson, DO
500 W Fort St, Boise, ID 83702-4501 · (208) 422-1000
-
Pine Valley Health LLC
901 N Curtis Rd Ste 404, Boise, ID 83706-1342 · (208) 247-5050
-
Dr. Steven Edward Pontickio, MD
500 W Fort St # 111 Attn: Steven Pontickio MD, Boise, ID 83702-4501 · (208) 422-1314
-
James L Proffitt, MD
500 W Fort St Crh 2nd Fl, Boise, ID 83702-4501 · (208) 422-1018
-
Irene Pucciarelli, DO
701 E Parkcenter Blvd, Boise, ID 83706-6528 · (208) 381-6400