Provider Demographics
NPI:1821007105
Name:NGHIEM-RAO, TUYET-HANG X (MD)
Entity Type:Individual
Prefix:DR
First Name:TUYET-HANG
Middle Name:X
Last Name:NGHIEM-RAO
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:9000 W WISCONSIN AVE
Mailing Address - Street 2:NEONATOLOGY
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-266-6820
Mailing Address - Fax:414-266-6979
Practice Address - Street 1:9000 W WISCONSIN AVE
Practice Address - Street 2:NEONATOLOGY
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-4874
Practice Address - Country:US
Practice Address - Phone:414-266-6820
Practice Address - Fax:414-266-6979
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI551762080N0001X
MA2141722080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1821007105Medicaid
MA2002361Medicaid
WI680861246Medicare PIN
WI1821007105Medicaid