Doctor Name: | HUNG DINH NGUYEN |
NPI Number: | 1225106800 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD-10809 |
Business Practice Address: | 1 Jarrett White Rd Tripler Army Medical Center Attn Mchk-qs Tamc, HI - 968595001 |
Business Phone Number: | 8084332460 |
Business Fax Number: | 8084331558 |
Mailing Address: | 99-712 Puluniu Loop, AIEA |
State: | HI |
Postal Code: | 967013590 |
Phone Number: | 8084333006 |
Fax Number: | 8084331558 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | MD-10809 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |