Provider Demographics
NPI:1861501124
Name:NGUYEN, CHIEU DINH (MD)
Entity Type:Individual
Prefix:DR
First Name:CHIEU
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 1:3100 WILCREST DR STE 130
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3548
Mailing Address - Country:US
Mailing Address - Phone:713-244-9944
Mailing Address - Fax:713-244-9966
Practice Address - Street 1:3100 WILCREST DR STE 130
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3548
Practice Address - Country:US
Practice Address - Phone:713-244-9944
Practice Address - Fax:713-244-9966
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV22415208G00000X, 208600000X
TXJ1469208G00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)