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1962614016

NPI Code Detail

MEDICARE: MICHAEL P NGUYEN MD

MEDICARE: MICHAEL P 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	2085R0204X	Vascular & Interventional Radiology Physician	349941	LA
2	2085R0202X	Diagnostic Radiology Physician	M6311	TN
3	2085R0204X	Vascular & Interventional Radiology Physician	036173122	IL
4	2085R0202X	Diagnostic Radiology Physician	D0101761	MD
5	2085R0202X	Diagnostic Radiology Physician	0101285859	VA
6	2085R0202X	Diagnostic Radiology Physician	036173122	IL
7	2085R0204X	Vascular & Interventional Radiology Physician	0101285859	VA
8	2085R0204X	Vascular & Interventional Radiology Physician	M6311	TX

General Provider Information

NPI Number	:	1962614016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL P NGUYEN MD

Provider Business Mailing Address
First Line	:	12554 RIATA VISTA CIR # 350
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78727-6431
Country	:	US
Telephone Number	:	713-461-3574
Fax Number	:	713-468-1247

Provider Business Practice Location Address
First Line	:	3330 MASONIC DR
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-3841
Country	:	US
Telephone Number	:	318-448-6734
Fax Number	:

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

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	02/19/2026

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Directions to “ MICHAEL P NGUYEN MD” Practice Location

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