Provider Demographics
NPI:1326278706
Name:NGUYEN, HUY TRONG SATO (MD)
Entity Type:Individual
Prefix:
First Name:HUY
Middle Name:TRONG SATO
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 1:242 - 610 SIXTH ST
Mailing Address - Street 2:
Mailing Address - City:NEW WESTMINSTER
Mailing Address - State:BRITISH COLUMBIA
Mailing Address - Zip Code:V3L 3C2
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:242 - 610 SIXTH ST
Practice Address - Street 2:
Practice Address - City:NEW WESTMINSTER
Practice Address - State:BRITISH COLUMBIA
Practice Address - Zip Code:V3L 3C2
Practice Address - Country:CA
Practice Address - Phone:604-521-8522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD19380207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine