Individual
DR. CHAN V NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
Mailing address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
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
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