Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 09875R | LA |
NPI | 1548379043 |
---|---|
Provider Name | Cham Phuong Nguyen |
First Address | New Orleans, LA 70118 |
Second Address | New Orleans, LA 70118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 06/12/2017 |