Provider Demographics
NPI:1235997966
Name:EXPEDIENT MD LLC
Entity Type:Organization
Organization Name:EXPEDIENT MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:VU
Authorized Official - Middle Name:
Authorized Official - Last Name:NGHIEM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:206-612-6568
Mailing Address - Street 1:PO BOX 300716
Mailing Address - Street 2:
Mailing Address - City:KAAAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96730-0681
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:51-480 KAMEHAMEHA HIGHWAY
Practice Address - Street 2:VIRUTAL PRACTICE
Practice Address - City:KAAAWA
Practice Address - State:HI
Practice Address - Zip Code:96730-0681
Practice Address - Country:US
Practice Address - Phone:515-808-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty