Provider Demographics
NPI:1366500795
Name:NGUYEN, DUONG HUU (MD)
Entity Type:Individual
Prefix:
First Name:DUONG
Middle Name:HUU
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:9601 BAPTIST HEALTH DR
Mailing Address - Street 2:STE 1050
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6379
Mailing Address - Country:US
Mailing Address - Phone:501-228-7400
Mailing Address - Fax:501-537-7412
Practice Address - Street 1:9601 LILE DR
Practice Address - Street 2:SUITE 1050
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6321
Practice Address - Country:US
Practice Address - Phone:501-228-7400
Practice Address - Fax:501-537-7412
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2018-08-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARC75122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR123758001Medicaid
ARE02949Medicare UPIN
AR123758001Medicaid