Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 01037702A | IN |
NPI | 1013910223 |
---|---|
Provider Name | Dr. Binh Quy Nguyen |
First Address | Munster, IN 46321-2938 |
Second Address | Munster, IN 46321-2938 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 17/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000084035 | ANTHEM BCBS OF INDIANA (01) | IN |
34440 | IHN (01) | IN |
5391280 | AETNA (01) | IN |
56789 | CSHCS (01) | IN |
56789 | IN STATE DEPT OF HEALTH/M (01) | IN |
6640459003 | CIGNA (01) | IN |
76165037 | WAUSAU (01) | IN |
90000732 | BCBS OF IL (01) | IN |
E86553 | (02) | IN |
IN7702 | EYEMED VISION CARE (01) | IN |