Organization
NGOC-HA THI NGUYEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGOC HA THI NGUYEN MD (PRESIDENT)
(703) 642-3220
Entity
Organization
Contact information
Practice address
7202C POPLAR ST, ANNANDALE, VA 22003
(703) 642-3220
(703) 778-9863
Mailing address
PO BOX 1645, ANNANDAUE, VA 22003
(703) 642-3220
(703) 778-9863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101053981
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490895
MEDICARE PTAN
VA
05
—
5852340
—
VA
Enumeration date
05/10/2006
Last updated
03/11/2024
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