Individual
HENRY KHAI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8075 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2693
(317) 621-8000
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01085879A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300014284
—
IN
Enumeration date
03/27/2017
Last updated
12/26/2024
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