Physician Assistant, Medical
THIEN DAN PHAM
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1528795622 · enumerated 2022-08-08 · record updated 2024-12-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1500 N RENAISSANCE BLVD NE STE C, ALBUQUERQUE, NM, 87107-7002 (505) 266-5565 Google Maps Apple Maps OpenStreetMap
- Mailing address 800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM, 87106-4310 (505) 272-1476 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License PA2024-0083 NM
- Student in an Organized Health Care Education/Training Program 390200000X
- Physician Assistant, Medical 363AM0700X · Primary
In this directory
NM Bernalillo County Albuquerque Physician Assistant, Medical
Locations and evidence
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Practice location
ALBUQUERQUE, NM, 871077002
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.