| Susan Nguyen Md Inc | |
|
250 Bon Air Rd Greenbrae CA 94904-1702 | |
| (415) 509-1573 | |
| Not Available |
| Full Name | Susan Nguyen Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 Bon Air Rd, Greenbrae, California |
| Authorized Official Name and Position | Susan Nguyen (OWNER) |
| Authorized Official Contact | 4155091573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Nguyen Md Inc 1600 Webster St Apt 405 San Francisco CA 94115-3294 Ph: (415) 509-1573 | Susan Nguyen Md Inc 250 Bon Air Rd Greenbrae CA 94904-1702 Ph: (415) 509-1573 |
| NPI Number | 1366959397 |
|---|---|
| Provider Enumeration Date | 12/28/2017 |
| Last Update Date | 12/28/2017 |
| Medicare PECOS PAC ID | 5698037547 |
|---|---|
| Medicare Enrollment ID | O20180313001612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366959397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A65791 (California) | Primary |
| Provider Name | Susan Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164470696 PECOS PAC ID: 8123004041 Enrollment ID: I20040629001316 |
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