| Thuanhanh T. Nguyen, M.d., P.a. | |
|
1433 Emerywood Dr Ste D Charlotte NC 28210-4105 | |
| (704) 554-8880 | |
| (704) 554-8883 |
| Full Name | Thuanhanh T. Nguyen, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1433 Emerywood Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Thuanhanh Thi Nguyen (PRESIDENT/OWNER) |
| Authorized Official Contact | 7045548880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thuanhanh T. Nguyen, M.d., P.a. Po Box 240296 Charlotte NC 28224-0296 Ph: (704) 554-8880 | Thuanhanh T. Nguyen, M.d., P.a. 1433 Emerywood Dr Ste D Charlotte NC 28210-4105 Ph: (704) 554-8880 |
| NPI Number | 1578663290 |
|---|---|
| Provider Enumeration Date | 09/23/2006 |
| Last Update Date | 11/15/2011 |
| Medicare PECOS PAC ID | 3375444896 |
|---|---|
| Medicare Enrollment ID | O20040117000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578663290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200201583 (North Carolina) | Primary |
| 208000000X | Pediatrics | 9901337 (North Carolina) | Secondary |
| Provider Name | Thuanhanh Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285622407 PECOS PAC ID: 4183525603 Enrollment ID: I20040117000125 |
| Provider Name | Nguyen Viet Ta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831186535 PECOS PAC ID: 5496763674 Enrollment ID: I20060329000722 |
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