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NPI Code Detail

MEDICARE: DR. NATHALIE T NGUYEN MD

MEDICARE: DR. NATHALIE T NGUYEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology PhysicianA89545CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205890498
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHALIE T NGUYEN MD
Provider Business Mailing Address
First Line : DEPT OF RADIATION ONCOLOGY
Second Line : 10725 INTERNATIONAL DRIVE
City : RANCHO CORDOVA
State : CA
Zip : 95670
Country : US
Telephone Number : 916-631-2730
Fax Number : 916-631-2710
Provider Business Practice Location Address
First Line : 10725 INTERNATIONAL DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-7967
Country : US
Telephone Number : 916-631-2730
Fax Number : 916-631-2710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 12/23/2021

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