Healthcare Provider Details

I. General information

NPI: 1568433738
Provider Name (Legal Business Name): RICHARD HUNG NGUYEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

Provider Other Name: HUNG QUY NGUYEN MD

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LANDSTUHL REGIONAL MEDICAL CENTER DEPARTMENT OF RADIOLOGY, CMR 402
APO AE
09180
DE

IV. Provider business mailing address

LANDSTUHL REGIONAL MEDICAL CENTER ATTN: MCEUL-DCCS (CREDENTIALS), CMR 402
APO AE
09180
DE

V. Phone/Fax

Practice location:
  • Phone: 011496371868423
  • Fax: 011496371867242
Mailing address:
  • Phone: 011496371868839
  • Fax: 011496371866133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number28906-020
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: