Provider Demographics
NPI:1861505273
Name:NGUYEN, DANIEL H (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:H
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:PO BOX 2270
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-2270
Mailing Address - Country:US
Mailing Address - Phone:828-264-4691
Mailing Address - Fax:828-265-4288
Practice Address - Street 1:719A GREENWAY ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-2860
Practice Address - Country:US
Practice Address - Phone:828-264-4691
Practice Address - Fax:828-265-4288
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9700348207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8910288Medicaid
NC8910288Medicaid
G67428Medicare UPIN