Individual
DR. THANH HANG KHAC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2829 W. DELEON STREET, TAMPA, FL 33609
(813) 342-1445
(813) 342-1449
Mailing address
1520 LOCKMEADE PL, OLDSMAR, FL 34677-5121
(813) 440-0363
(813) 925-6955
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
47549
MN
208600000X
Surgery Physician
47549
MN
208600000X
Surgery Physician
Primary
ME99639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02710
FLORIDA BLUE
FL
05
—
278977900
—
FL
01
—
805T5NG
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/16/2006
Last updated
04/14/2023
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