Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 55178 | CT |
Y | 207RH0003X | Hematology & Oncology | 55178 | CT |
N | 207RX0202X | Medical Oncology | 55178 | CT |
NPI | 1376867127 |
---|---|
Provider Name | Khanh T Nguyen |
First Address | New Haven, CT 06510-0136 |
Second Address | Derby, CT 06418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2010 |
Last Update Date | 03/05/2017 |