Individual
HAI NAM NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 WESTBANK EXPY, GRETNA, LA 70053-5616
(504) 364-1844
(504) 367-6022
Mailing address
315 WESTBANK EXPY, GRETNA, LA 70053-5616
(504) 364-1844
(504) 367-6022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023174
LA
208000000X
Pediatrics Physician
023174
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023174
LICENSE #
LA
05
—
1492337
—
LA
01
—
4011653
AETNA
LA
01
—
721517072
TAX ID
LA
Enumeration date
12/29/2006
Last updated
06/15/2023
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