Provider Demographics
NPI:1497899439
Name:NGUYEN, CHINH T (MD)
Entity Type:Individual
Prefix:
First Name:CHINH
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 1:3601 S 6TH AVE
Mailing Address - Street 2:1-111
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:21201-1009
Mailing Address - Country:US
Mailing Address - Phone:410-706-7560
Mailing Address - Fax:410-706-1992
Practice Address - Street 1:725 W LOMBARD ST
Practice Address - Street 2:INFECTIOUS DISEASES
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1009
Practice Address - Country:US
Practice Address - Phone:410-706-7560
Practice Address - Fax:410-706-1992
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MDD61695207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty