Individual
BINH PHUC NGUYEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4228 HOUMA BLVD, SUITE 320, METAIRIE, LA 70006-3000
(504) 456-5131
(504) 456-5082
Mailing address
4913 KENNEDY ST, METAIRIE, LA 70006-1034
(504) 454-0118
(504) 456-5082
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05939R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0690612
AETNA PROVIDER #
LA
05
—
1349526
—
LA
05
—
1946095
—
LA
01
—
3960460001
CIGNA
LA
Enumeration date
08/18/2005
Last updated
07/09/2007
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