Individual
MAI HOANG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 MAPLE AVE W STE 3, VIENNA, VA 22180-4224
(703) 281-3626
(703) 281-3615
Mailing address
410 MAPLE AVE W STE 3, VIENNA, VA 22180-4224
(703) 281-3626
(703) 281-3615
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101244058
VA
207Q00000X
Family Medicine Physician
A94851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
948510
—
CA
Enumeration date
11/02/2006
Last updated
12/04/2018
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