MEDICARE: DR. PHO M. 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
1	2085R0202X	Diagnostic Radiology Physician	35083806	OH
2	2085R0204X	Vascular & Interventional Radiology Physician	41780	KY

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447217328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHO M. NGUYEN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1595
Second Line	:
City	:	ASHLAND
State	:	KY
Zip	:	41105-1595
Country	:	US
Telephone Number	:	606-408-6200
Fax Number	:	606-408-6612

Provider Business Practice Location Address
First Line	:	613 23RD ST STE 520
Second Line	:
City	:	ASHLAND
State	:	KY
Zip	:	41101-2878
Country	:	US
Telephone Number	:	606-393-0190
Fax Number	:	606-393-5169

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

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	01/24/2024

Similar Medicare Providers

1063076388 — HEATHER JASMINE HOLTON APRN
Practice Location Address:

613 23RD ST STE 510
ASHLAND, KY
41101-2878

Practice Phone: 606-329-9335
Practice Fax: 606-324-6383

1265401566 — DR. ERIC H BRONSTEIN M.D.
Practice Location Address:

613 23RD ST , SUITE 210
ASHLAND, KY
41101-2878

Practice Phone: 606-326-9847
Practice Fax: 606-326-3418

1790744548 — TINA M SIAS MD
Practice Location Address:

613 23RD ST , SUITE G-10
ASHLAND, KY
41101-2878

Practice Phone: 606-329-1997
Practice Fax: 606-329-1227

1770545469 — DR. MALCOLM A KING M.D.P.S.C.
Practice Location Address:

613 23RD ST , SUITE 230
ASHLAND, KY
41101-2878

Practice Phone: 606-324-4745
Practice Fax: 606-324-4941

1083664254 — DR. OMRAN RIAD ABUL-KHOUDOUD MD, FACS, RVT
Practice Location Address:

613 23RD ST STE 520
ASHLAND, KY
41101-2878

Practice Phone: 606-326-1675
Practice Fax: 606-326-1436

1306892559 — RODERICK J. TOMPKINS JR. M.D.
Practice Location Address:

613 23RD ST , SUITE 440
ASHLAND, KY
41101-2878

Practice Phone: 606-329-2888
Practice Fax: 606-329-2890

Directions to “ DR. PHO M. NGUYEN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.