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Individual

DR. THU NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

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
207R00000X
Internal Medicine Physician
Primary
10125
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A0213692
HMSA
HI
05
08743802
HI
01
110236584
RAILROAD MEDICARE
HI
Enumeration date
06/04/2006
Last updated
02/06/2008
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