MEDICARE: DOAN NGOC CHAU 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
1	207R00000X	Internal Medicine Physician	ME180820	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZYYTY	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700581931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOAN NGOC CHAU NGUYEN MD

Provider Business Mailing Address
First Line	:	PO BOX 112019
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34108-0134
Country	:	US
Telephone Number	:	239-624-6400
Fax Number	:	239-624-0401

Provider Business Practice Location Address
First Line	:	311 9TH ST N STE 300
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5887
Country	:	US
Telephone Number	:	239-624-0940
Fax Number	:	239-624-0941

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2023
Last Update Date	:	06/15/2026

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