Provider Demographics
NPI:1003965021
Name:NGUYEN, KARI HUONG (MD)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:HUONG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8266 ATLEE RD
Mailing Address - Street 2:MOB #2, SUITE 319
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-1804
Mailing Address - Country:US
Mailing Address - Phone:804-764-7965
Mailing Address - Fax:804-764-7969
Practice Address - Street 1:8266 ATLEE RD
Practice Address - Street 2:MOB #2, SUITE 319
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-1804
Practice Address - Country:US
Practice Address - Phone:804-764-7965
Practice Address - Fax:804-764-7969
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005-00982207R00000X
MDD69047208M00000X
VA0101234901208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2047614Medicare ID - Type Unspecified
OTH000Medicare ID - Type Unspecified
NC5902220Medicare ID - Type Unspecified