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Individual
KHANH Q NGUYEN
Active
Individual
KHANH Q NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102312
FL
363AS0400X
Surgical Physician Assistant
PA9102312
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291549900
—
FL
01
—
HF826A
MEDICARE PTAN - GRP QSS SCS
FL
01
—
U1470Y
MEDICARE PTAN - QSS SCS
FL
Enumeration date
09/16/2005
Last updated
08/01/2024
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