Individual
KY NAM BAO NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4501 X ST, G140, SACRAMENTO, CA 95817-2229
(408) 499-4595
Mailing address
4501 X ST, G140, SACRAMENTO, CA 95817-2229
(408) 499-4595
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A146042
CA
Other
Enumeration date
04/29/2015
Last updated
08/03/2020
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