Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 35198 | AZ |
N | 207Q00000X | Family Doctor | 35198 | AZ |
Y | 207QA0505X | Family Doctor - Adult Medicine | 35198 | AZ |
N | 207R00000X | Internist | 35198 | AZ |
N | 111NI0900X | Internist | 35198 | AZ |
NPI | 1275596827 |
---|---|
Provider Name | Linh C Nguyen |
First Address | Surprise, AZ 85374-7280 |
Second Address | Surprise, AZ 85374-7280 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 12/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
113942 | (05) | AZ |
35198 | LICENSE (01) | AZ |
AFE82737 | RETIRED CA MED LICENSE (01) | CA |