Organization
THU NGUYEN , MD, LLC
Active
Organization
THU NGUYEN , MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THU NGUYEN MD (OWNER)
(808) 961-5522
Entity
Organization
Contact information
Practice address
868 ULULANI ST, SUITE 105, HILO, HI 96720-3913
(808) 961-5522
(808) 961-0006
Mailing address
868 ULULANI ST, SUITE 105, HILO, HI 96720-3913
(808) 961-5522
(808) 961-0006
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08743802
HMSA
HI
05
—
08743802
—
HI
Enumeration date
08/20/2006
Last updated
02/06/2008
Update your record
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