Provider Demographics
NPI:1376867127
Name:NGUYEN, KHANH T (MD)
Entity Type:Individual
Prefix:
First Name:KHANH
Middle Name:T
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 1:400 OXFORD DR STE 102
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2351
Mailing Address - Country:US
Mailing Address - Phone:412-380-2821
Mailing Address - Fax:412-374-1443
Practice Address - Street 1:400 OXFORD DR STE 102
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2351
Practice Address - Country:US
Practice Address - Phone:412-380-2821
Practice Address - Fax:412-374-1443
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT55178207RH0000X, 207RH0003X, 207RX0202X
PAMD448850207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology