Individual
DR. KHANG V NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1832 CENTRE ST, WEST ROXBURY, MA 02132-1901
(617) 469-4000
Mailing address
1832 CENTRE ST, WEST ROXBURY, MA 02132-1901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
217104
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405762
EVERCARE
—
01
—
043243146
UNITED HLTHCARE OF NE
NE
01
—
043243146
HARVARD PILGRIM
—
01
—
1377862001
CIGNA
—
05
—
2018900
—
MA
01
—
21236592777
BEECH STREET
—
01
—
3554363
AETNA HEALTH PLAN
—
01
—
6000577
HARVARD PILGRIM
—
01
—
J26814
HMO BLUE
—
01
—
M15986
BLUE CROSS INDEMNITY
—
Enumeration date
09/02/2005
Last updated
06/18/2019
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