Individual
NGUYEN NGTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3810 W BROAD ST STE 104, RICHMOND, VA 23230-3927
(804) 655-6008
(833) 428-7575
Mailing address
3810 W BROAD ST STE 104, RICHMOND, VA 23230-3927
(804) 655-6008
(833) 428-7575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116023992
VA
Other
Enumeration date
06/27/2011
Last updated
04/23/2025
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