Provider Demographics
NPI:1528413051
Name:VINH NGUYEN MD PC
Entity Type:Organization
Organization Name:VINH NGUYEN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/SURGEON OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-408-9839
Mailing Address - Street 1:100 PILOT MEDICAL DR STE 285
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3475
Mailing Address - Country:US
Mailing Address - Phone:251-408-9839
Mailing Address - Fax:888-903-2940
Practice Address - Street 1:100 PILOT MEDICAL DR STE 285
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3475
Practice Address - Country:US
Practice Address - Phone:251-408-9839
Practice Address - Fax:888-903-2940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-03
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty