Healthcare Provider Details

I. General information

NPI: 1235144742
Provider Name (Legal Business Name): ANH T. NGUYEN-HUYNH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 04/28/2020
Certification Date: 04/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE # A71
CLEVELAND OH
44195-5814
US

IV. Provider business mailing address

9500 EUCLID AVE # A71
CLEVELAND OH
44195-0002
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-6696
  • Fax:
Mailing address:
  • Phone: 216-444-6696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA85348
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD26754
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License NumberMD26754
License Number StateOR
# 4
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License NumberA85348
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: