| Kim-dung T. Nguyen, Md, Pc | |
|
5130 Duke St 8 Alexandria VA 22304-2924 | |
| (703) 823-2849 | |
| (703) 823-2847 |
| Full Name | Kim-dung T. Nguyen, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5130 Duke St, Alexandria, Virginia |
| Authorized Official Name and Position | Ted Nguyen (OFFICE MANAGER) |
| Authorized Official Contact | 7035382200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim-dung T. Nguyen, Md, Pc Po Box 11193 Alexandria VA 22312-0193 Ph: (703) 538-2200 | Kim-dung T. Nguyen, Md, Pc 5130 Duke St 8 Alexandria VA 22304-2924 Ph: (703) 823-2849 |
| NPI Number | 1891994547 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 11/01/2011 |
| Medicare PECOS PAC ID | 7719165893 |
|---|---|
| Medicare Enrollment ID | O20110620000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891994547 | NPI | - | NPPES |
| 5849543 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101226147 (Virginia) | Primary |
| Provider Name | Kim Dung T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013953397 PECOS PAC ID: 8224004783 Enrollment ID: I20040907000359 |
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