Healthcare Provider Details

I. General information

NPI: 1285138040
Provider Name (Legal Business Name): THUY-MAI CRISTINA NGUYEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 PERDIDO ST STE 3205
NEW ORLEANS LA
70112-1393
US

IV. Provider business mailing address

1901 PERDIDO ST STE 3205
NEW ORLEANS LA
70112-1393
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-2903
  • Fax:
Mailing address:
  • Phone: 504-568-2903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number336893
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number336893
License Number StateLA
# 4
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number336893
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: