Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | MD429530 | PA |
NPI | 1033110754 |
---|---|
Provider Name | Thanh G Nguyen |
First Address | Clairton, PA 15025-3747 |
Second Address | Pittsburgh, PA 15215-4316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 01/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1016742100001 | (05) | PA |
H63961 | (02) | PA |