Provider Demographics
NPI:1689682718
Name:NGUYEN, MINH H (DO)
Entity Type:Individual
Prefix:DR
First Name:MINH
Middle Name:H
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:747 BROADWAY
Mailing Address - Street 2:SWEDISH FIRST HILL/CHERRY HILL
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-4379
Mailing Address - Country:US
Mailing Address - Phone:206-386-2202
Mailing Address - Fax:206-386-6612
Practice Address - Street 1:747 BROADWAY
Practice Address - Street 2:SWEDISH FIRST HILL/CHERRY HILL
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4379
Practice Address - Country:US
Practice Address - Phone:206-386-2202
Practice Address - Fax:206-386-6612
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP00002017207Q00000X, 208M00000X
IL036124922208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8429813Medicaid
G8854940Medicare PIN
WA8429813Medicaid