Individual
JEREMY B NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200373
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941591
—
AL
05
—
01084889
—
MS
05
—
1576239
—
LA
05
—
182370001
—
TX
01
—
586402327
TRICARE
—
01
—
8W2044
BCBSTX
TX
01
—
P00377885
RAILROAD MEDICARE
GA
Enumeration date
07/04/2006
Last updated
08/06/2008
Update your record
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