KELLY PHAN (NPI# 1295266823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295266823 |
| Entity Type | Individual |
| Full Name | KELLY PHAN |
| Practice Address |
1 Baylor Plz Bcm 320 Houston TX 77030-3411 |
| Practice Telephone | 8328241170 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578721940 | Kelly Myanh Phan | Internal Medicine | Scott and White Hospital, 2401 South 31st Street, Temple, TX 76508-0001 | 2008-06-01 |
| 1306400783 | Kelly D Phan | Pharmacist | 2514 Berryessa Rd, San Jose, CA 95132-2947 | 2019-05-01 |
| 1134553381 | Kelly Nguyen Phan | Physical Therapist | 233 Orangefair Mall, Fullerton, CA 92832-3038 | 2013-08-23 |
| 1760611248 | Kelly Phuong Phan | Optometrist | 18700 Limestone Commercial Dr, Pflugerville, TX 78660-6544 | 2009-07-06 |
| Street Address |
1 BAYLOR PLZ BCM 320 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-3411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891784443 | Patricia Ann Ward | Genetic Counselor, MS | 1 Baylor Plz, Baylor College of Medicine, Houston, TX 77030-3411 | 2005-10-17 |
| 1629685623 | Maryam Sultana Siddiqui | Counselor | 1 Baylor Plz, Houston, TX 77030-3411 | 2020-09-24 |
| 1053938621 | Bernard Weigel | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3498 | 2020-06-30 |
| 1124641402 | George A Romar | Internal Medicine | 1 Baylor Plz, Houston, TX 77030-3498 | 2020-05-21 |
| 1154943827 | Tedra Hall | Anesthesiologist Assistant | 1 Baylor Plz, Houston, TX 77030-3498 | 2020-05-15 |
| 1407478670 | Francois Williams | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2020-05-11 |
| 1730701269 | Garret Hisle | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3498 | 2020-05-06 |
| 1356962815 | Alexandra Ngo | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3498 | 2020-05-06 |
| 1275154809 | Xuezhen Du | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3498 | 2020-05-05 |
| 1477174084 | Shankar Mulloth Nandakumar | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2020-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865936 | Zhuoxuan Judy Cai | Student in an Organized Health Care Education/Training Program | 1400 Pressler St Fl 7703015, Houston, TX 77030-3722 | 2020-09-10 |
| 1255946109 | Idris Abdullah Badruddin | Student in an Organized Health Care Education/Training Program | 7911 Lawn Wood Ln, Houston, TX 77086-2325 | 2020-09-08 |
| 1427669209 | Omar Ahmed | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St # 6510, Houston, TX 77054-2032 | 2020-08-13 |
| 1245840503 | Punit Pala | Student in an Organized Health Care Education/Training Program | 1550 Lakeside Enclave Dr, Houston, TX 77077-1684 | 2020-08-03 |
| 1932719374 | Atteeba Manzar | Student in an Organized Health Care Education/Training Program | 6550 Fannin St Ste 1661, Houston, TX 77030-2765 | 2020-07-31 |
| 1619595204 | Noah Collaco | Student in an Organized Health Care Education/Training Program | 3110 Gannett St, Houston, TX 77025-3826 | 2020-07-09 |
| 1629696273 | Esraa Elsamny | Student in an Organized Health Care Education/Training Program | 7676 Phoenix Dr Apt 1523, Houston, TX 77030-4725 | 2020-07-09 |
| 1194343988 | Melanie Leigh Painter | Student in an Organized Health Care Education/Training Program | 1505 City Nights Way, Houston, TX 77047-3405 | 2020-07-08 |
| 1467079608 | Emmanuella Adetoro Oduguwa | Student in an Organized Health Care Education/Training Program | 10918 Ranier Dr, Houston, TX 77031-1835 | 2020-07-04 |
| 1366069288 | Jacob Charles Kinskey | Student in an Organized Health Care Education/Training Program | Attn: Jacob Kinskey, Dept. of Pathology, 6550 Fannin St Ste Sm383, Houston, TX 77030-2717 | 2020-06-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.