Provider Demographics
NPI:1235268517
Name:NGUYEN, TRI MINH (MD)
Entity Type:Individual
Prefix:
First Name:TRI
Middle Name:MINH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6570 STAGE RD STE 245
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-2840
Mailing Address - Country:US
Mailing Address - Phone:901-746-9888
Mailing Address - Fax:901-746-9854
Practice Address - Street 1:6570 STAGE RD STE 245
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-2840
Practice Address - Country:US
Practice Address - Phone:901-746-9888
Practice Address - Fax:901-746-9854
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42877207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine