MEDICARE: HUY NGUYEN MD LTD

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	207R00000X	Internal Medicine Physician	11525	NV

General Provider Information

NPI Number	:	1790954188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUY NGUYEN MD LTD

Provider Business Mailing Address
First Line	:	5945 S RAINBOW BLVD
Second Line	:	SUITE 140
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-2559
Country	:	US
Telephone Number	:	702-450-1717
Fax Number	:	702-979-9673

Provider Business Practice Location Address
First Line	:	5992 FLY FISHER ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1721
Country	:	US
Telephone Number	:	702-412-3326
Fax Number	:	702-734-2730

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HUY NGUYEN
Credential	:	MD
Telephone Number	:	702-412-3326

Provider Enumeration Date	:	02/29/2008
Last Update Date	:	02/29/2008

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