Individual
MYKHANH CONNIE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3200
Mailing address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3200
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
200001614
NC
2085R0001X
Radiation Oncology Physician
Primary
25678
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200113090A
—
OK
05
—
89128EE
—
NC
Enumeration date
04/14/2006
Last updated
04/11/2014
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