MEDICARE: HANH-NGUYEN DO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	A65840	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003907338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANH-NGUYEN DO MD

Provider Business Mailing Address
First Line	:	5725 W LAS POSITAS BLVD
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94588-4054
Country	:	US
Telephone Number	:	258-479-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5725 W LAS POSITAS BLVD
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94588-4054
Country	:	US
Telephone Number	:	258-479-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	09/06/2024

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