Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 0101234418 | VA |
NPI | 1346219482 |
---|---|
Provider Name | Dr. Anh Dai Kim Nguyen |
First Address | Baltimore, MD 21297-1334 |
Second Address | Sterling, VA 20165-6146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 01/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010126347 | (05) | VA |