Individual
DAI DAO NGHIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 STOCKTON BLVD # 2021, UC DAVIS MEDICAL CENTER, SACRAMENTO, CA 95817-2201
(916) 734-7882
(916) 734-6564
Mailing address
2315 STOCKTON BLVD # 2021, UC DAVIS MEDICAL CENTER, SACRAMENTO, CA 95817-2201
(916) 734-7882
(916) 734-6564
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
C52961
CA
204F00000X
Transplant Surgery Physician
MD-037728-E
PA
208600000X
Surgery Physician
MD037728E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010746440001
—
PA
05
—
0165744
—
OH
05
—
0222598000
—
WV
Enumeration date
08/09/2005
Last updated
03/02/2012
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