Provider Demographics
NPI:1780660704
Name:NGUYEN, ROBERT BV (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:BV
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 1:812 W YOSEMITE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-4588
Mailing Address - Country:US
Mailing Address - Phone:559-674-2494
Mailing Address - Fax:559-674-5608
Practice Address - Street 1:812 W YOSEMITE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-4588
Practice Address - Country:US
Practice Address - Phone:559-674-2494
Practice Address - Fax:559-674-5608
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA29598207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine