Healthcare Provider Details

I. General information

NPI: 1235446709
Provider Name (Legal Business Name): VINH Q NGUYEN M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2010
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W EXCHANGE ST STE 330
AKRON OH
44302-1715
US

IV. Provider business mailing address

805 COLUMBIA RD STE 109
WESTLAKE OH
44145-1461
US

V. Phone/Fax

Practice location:
  • Phone: 330-436-3150
  • Fax: 330-436-3160
Mailing address:
  • Phone: 440-799-4224
  • Fax: 440-799-4228

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 State
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number35.098846
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number390200000X
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: