| Ngoc-ha Thi Nguyen Md Pc | |
|
7202c Poplar St Annandale VA 22003 | |
| (703) 642-3220 | |
| (703) 778-9863 |
| Full Name | Ngoc-ha Thi Nguyen Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7202c Poplar St, Annandale, Virginia |
| Authorized Official Name and Position | Ngoc Ha Thi Nguyen (PRESIDENT) |
| Authorized Official Contact | 7036423220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ngoc-ha Thi Nguyen Md Pc Po Box 1645 Annandaue VA 22003 Ph: (703) 642-3220 | Ngoc-ha Thi Nguyen Md Pc 7202c Poplar St Annandale VA 22003 Ph: (703) 642-3220 |
| NPI Number | 1396795605 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 03/11/2024 |
| Medicare PECOS PAC ID | 6608948054 |
|---|---|
| Medicare Enrollment ID | O20080701000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396795605 | NPI | - | NPPES |
| 490895 | Other | VA | MEDICARE PTAN |
| 5852340 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101053981 (Virginia) | Primary |
| Provider Name | Ngoc-ha T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750346870 PECOS PAC ID: 7416923222 Enrollment ID: I20040902001251 |
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