# HAI NAM NGUYEN, MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRETNA MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831417153
- **Authorized official:** HAI NAM NGUYEN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (504) 364-1844

## Contact information

- **Practice address:** 1221 AMELIA ST, GRETNA, LA 70053-5533
- **Practice address phone:** (504) 364-1844
- **Practice address fax:** (504) 367-6022
- **Mailing address:** 1221 AMELIA ST, GRETNA, LA 70053-5533
- **Mailing address phone:** (504) 364-1844
- **Mailing address fax:** (504) 367-6022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 06349R | LA | — |
| 207R00000X | Internal Medicine Physician | 023174 | LA | Yes |
| 208000000X | Pediatrics Physician | 023174 | LA | — |
| 363LF0000X | Family Nurse Practitioner | AP04172 | LA | — |

## Other

- **Enumeration date:** 05/11/2010
- **Last updated:** 04/11/2014