Individual
DR. TRACH N NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 295-9360
(703) 295-9369
Mailing address
68 SOUTH SERVICE ROAD, SUITE #350, MELVILLE, NY 11747
(516) 945-3107
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101048156
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136914
ANTHEM
VA
05
—
1831108752
—
VA
01
—
293724
AMERIGROUP
VA
01
—
4526-8633
CARE FIRST
VA
01
—
484645
NCPPO
VA
01
—
K142-0001
CARE FIRST
VA
01
—
P00110939
RAILROAD MEDICARE
VA
Enumeration date
08/07/2006
Last updated
03/31/2015
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