Healthcare Provider Details

I. General information

NPI: 1932303013
Provider Name (Legal Business Name): KHOA NHU NGUYEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 PENN AVE CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC ANESTHESIA
PITTSBURGH PA
15224-1334
US

IV. Provider business mailing address

199 VALLEY STREAM DR ONE CHILDREN'S HOSPITAL DRIVE
DELMONT PA
15626-1336
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-5260
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberT2023
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberMD439021
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: