Individual
NHAN DAT PHAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 TULANE AVE., SL-50, NEW ORLEANS, LA 70112-2699
(504) 988-7809
Mailing address
8713 LINDENHURST PL, TAMPA, FL 33634-1088
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME139618
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
08/26/2019
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