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Physician Compare National (NPI:1487675898)

HEALTHCARE PROVIDER: KHANH NGUYEN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1487675898
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8820051329
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090707000306
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name NGUYEN
Individual professional last name
Provider First Name KHANH
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Individual professional's medical school
Graduation Year 1999
Individual professional's medical school graduation year
Primary Specialty DERMATOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1245 YALE ST
Group Practice or individual's line 1 address
Line 2 Street Address UNIT A
Group Practice or individual's line 2 address
City HOUSTON
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 770086959
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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