Individual
THAI Q NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8000
(540) 536-7681
Mailing address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8000
(540) 536-7681
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101233108
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3003288000
—
WV
05
—
5877580
—
VA
01
—
P01019931
RR MEDICARE
VA
Enumeration date
03/24/2006
Last updated
06/11/2012
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