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NPI Code Detail

MEDICARE: BICH-TAM NGUYEN

MEDICARE: BICH-TAM NGUYEN
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1750214417
Entity Type Code : Individual
Provider Name (Legal Business Name) : BICH-TAM NGUYEN
Provider Business Mailing Address
First Line : 5850 E STILL CIR
Second Line :
City : MESA
State : AZ
Zip : 85206-3618
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5850 E STILL CIR
Second Line :
City : MESA
State : AZ
Zip : 85206-3618
Country : US
Telephone Number : 517-648-9539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/18/2026

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Directions to “ BICH-TAM NGUYEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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