Individual
KHOA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4225 LAPALCO BLVD, MARRERO, LA 70072-4338
(504) 371-9355
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD208049
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08787870
—
MS
05
—
2199536
—
LA
Enumeration date
03/27/2012
Last updated
12/17/2015
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