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NPI Code Detail

MEDICARE: DR. THOMAS ANH NGUYEN M.D.

MEDICARE: DR. THOMAS ANH NGUYEN M.D.
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
12083A0300XAddiction Medicine (Preventive Medicine) Physician35.077860OH

General Provider Information

NPI Number : 1366706673
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS ANH NGUYEN M.D.
Provider Business Mailing Address
First Line : 260 STETSON ST
Second Line : SUITE # 3200
City : CINCINNATI
State : OH
Zip : 45219-2498
Country : US
Telephone Number : 513-558-7700
Fax Number : 513-332-0368
Provider Business Practice Location Address
First Line : 5888 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2860
Country : US
Telephone Number : 614-882-4343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2012
Last Update Date : 01/22/2025

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