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Individual

NAM PHONG NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2041 GEORGIA AVE NW HUH B810, WASHINGTON, DC 20060
(202) 865-1421
Mailing address
2041 GEORGIA AVE NW TOWER 3400, WASHINGTON, DC 20060-0001
(202) 865-6679

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
30912
AZ
2085R0001X
Radiation Oncology Physician
Primary
MD16513
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154786
AZ
01
P00435429
RAILROAD MEDICARE
AZ
Enumeration date
09/17/2006
Last updated
03/14/2023
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