| David Nguyen Md Ps Inc | |
|
2120 Rainier Ave S #c Seattle WA 98144 | |
| (206) 860-0288 | |
| (206) 328-0489 |
| Full Name | David Nguyen Md Ps Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2120 Rainier Ave S, Seattle, Washington |
| Authorized Official Name and Position | David D Nguyen (PRESIDENT) |
| Authorized Official Contact | 2068600288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Nguyen Md Ps Inc 2120 Rainier Ave S #c Seattle WA 98144 Ph: (206) 860-0288 | David Nguyen Md Ps Inc 2120 Rainier Ave S #c Seattle WA 98144 Ph: (206) 860-0288 |
| NPI Number | 1558464198 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 05/13/2011 |
| Medicare PECOS PAC ID | 0547242414 |
|---|---|
| Medicare Enrollment ID | O20040603001173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558464198 | NPI | - | NPPES |
| 1116490 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00039167 (Washington) | Primary |
| Provider Name | David D Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700822103 PECOS PAC ID: 5698757565 Enrollment ID: I20040604000117 |
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