Provider Demographics
NPI:1740395607
Name:NGUYEN, HUNG DINH (MD)
Entity Type:Individual
Prefix:DR
First Name:HUNG
Middle Name:DINH
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 1:19 WEST AVE STE 201
Mailing Address - Street 2:SARATOGA HOSPITAL PULMONOLOGY AND SLEEP MEDICINE
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-6049
Mailing Address - Country:US
Mailing Address - Phone:518-693-4635
Mailing Address - Fax:
Practice Address - Street 1:19 WEST AVE STE 201
Practice Address - Street 2:SARATOGA HOSPITAL PULMONOLOGY AND SLEEP MEDICINE
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-6049
Practice Address - Country:US
Practice Address - Phone:518-693-4635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241363207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02806673Medicaid
NYJ400078099Medicare PIN
NYPENDINGMedicare UPIN