Healthcare Provider Details

I. General information

NPI: 1831982867
Provider Name (Legal Business Name): ANTHONY NGUYEN WHITE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SUDLAGER 260
VILSECK BAVARIA
92249
DE

IV. Provider business mailing address

CMR 411 BOX 868
APO AE
09112-1009
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone: 314-590-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberXXXXXXXXXX
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: