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NPI Code Detail

MEDICARE: MINH VAN NGUYEN MD

MEDICARE:   MINH VAN 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
1208D00000XGeneral Practice PhysicianMD00020746WA

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 : 1962494070
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINH VAN NGUYEN MD
Provider Business Mailing Address
First Line : 9431 17TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98106-2710
Country : US
Telephone Number : 206-763-9621
Fax Number : 206-767-6028
Provider Business Practice Location Address
First Line : 9431 17TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98106-2710
Country : US
Telephone Number : 206-763-9621
Fax Number : 206-767-6028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 11/16/2007

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Directions to “ MINH VAN NGUYEN MD” Practice Location

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