Individual
DR. CHAN V NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101056014
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139178
BCBS
VA
01
—
300074720
RR MEDICARE
VA
01
—
56579
OPTIMA
VA
05
—
7230613
—
VA
05
—
890546L
—
NC
Enumeration date
12/06/2005
Last updated
02/07/2014
Update your record
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