Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | DO1414 | NV |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | R932 | AZ |
NPI | 1053516542 |
---|---|
Provider Name | Quang T Nguyen |
First Address | Henderson, NV 89074-7364 |
Second Address | Henderson, NV 89074-7364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2007 |
Last Update Date | 10/02/2020 |