Provider Demographics
NPI:1568856755
Name:NGHIEM, CASSIE (MD)
Entity Type:Individual
Prefix:
First Name:CASSIE
Middle Name:
Last Name:NGHIEM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BAO TRAM
Other - Middle Name:
Other - Last Name:NGHIEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2440 M ST NW STE 801
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1474
Mailing Address - Country:US
Mailing Address - Phone:202-742-3999
Mailing Address - Fax:
Practice Address - Street 1:2440 M ST NW STE 801
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1474
Practice Address - Country:US
Practice Address - Phone:202-742-3999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-25
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0093949208200000X
DCMD210002110208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery