Provider Demographics
NPI:1487862082
Name:NGUYEN, HOANG-HAI NGOC (MD)
Entity Type:Individual
Prefix:
First Name:HOANG-HAI
Middle Name:NGOC
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 1:120 MANHOAC RUN
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-2792
Mailing Address - Country:US
Mailing Address - Phone:757-865-0974
Mailing Address - Fax:
Practice Address - Street 1:501 BUTLER FARM RD
Practice Address - Street 2:SUITE I
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-1777
Practice Address - Country:US
Practice Address - Phone:757-251-7469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101240197207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology