Individual
KHIET T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10215 FERNWOOD RD, SUITE 620, BETHESDA, MD 20817-1106
(301) 530-6646
(301) 530-0773
Mailing address
4110 ASPEN HILL RD, SUIE 200, ROCKVILLE, MD 20853-2853
(301) 438-5150
(301) 460-0199
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D64347
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415144500
—
MD
01
—
NPI
MEDICARE
—
05
—
NPI
—
VA
01
—
P00644589
RAILROAD MEDICARE
—
Enumeration date
03/14/2007
Last updated
12/20/2013
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