MEDICARE: MINH H NGUYEN 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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	10355	NV

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	:	1558369181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINH H NGUYEN MD

Provider Business Mailing Address
First Line	:	PO BOX 98820
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89193-8820
Country	:	US
Telephone Number	:	702-407-8241
Fax Number	:	702-492-1728

Provider Business Practice Location Address
First Line	:	6955 N DURANGO DR
Second Line	:	SUITE 1115-361
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4411
Country	:	US
Telephone Number	:	702-407-8241
Fax Number	:	702-492-1728

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	03/06/2015

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Directions to “ MINH H NGUYEN MD” Practice Location

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