Provider Demographics
NPI:1740497346
Name:NGUYEN, PAUL AN (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:AN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 36830
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-6830
Mailing Address - Country:US
Mailing Address - Phone:702-405-9080
Mailing Address - Fax:702-405-9240
Practice Address - Street 1:2031 MCDANIEL ST STE 230
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-6309
Practice Address - Country:US
Practice Address - Phone:702-405-9080
Practice Address - Fax:702-405-9240
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV121782084P0800X, 2084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry