# DZUNG V. NGUYEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356459515
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 036094757 | IL | — |
| 207L00000X | Anesthesiology Physician | G73101 | CA | Yes |

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 02/03/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036094757 | — | IL |
| 01 | — | 364138353 | TAX ID | IL |
| 01 | — | 400130 | GROUP MEDICARE PTAN | — |
| 01 | — | CN4921 | RRMC | — |