MEDICARE: DR. THUY-LINH DUY NGUYEN D.P.M.

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	213EP1101X	Primary Podiatric Medicine Podiatrist	01455	MD
2	213ES0103X	Foot & Ankle Surgery Podiatrist	01455	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01012727	OTHER	MD	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	002812827	OTHER	MD	UHC
3	7024957	OTHER	MD	AETNA
4	216899	OTHER	MD	CIGNA HEALTHSPRINGS
5	V897	OTHER	MD	CAREFIRST
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	2333808	OTHER	MD	CIGNA

General Provider Information

NPI Number	:	1396894598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THUY-LINH DUY NGUYEN D.P.M.

Provider Business Mailing Address
First Line	:	3334 PAPER MILL RD
Second Line	:
City	:	PHOENIX
State	:	MD
Zip	:	21131-1419
Country	:	US
Telephone Number	:	410-666-3668
Fax Number	:	410-666-3669

Provider Business Practice Location Address
First Line	:	3334 PAPER MILL RD
Second Line	:
City	:	PHOENIX
State	:	MD
Zip	:	21131-1419
Country	:	US
Telephone Number	:	410-666-3668
Fax Number	:	410-666-3669

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

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	03/29/2022

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Directions to “ DR. THUY-LINH DUY NGUYEN D.P.M.” Practice Location

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