Provider Demographics
NPI:1952444622
Name:NGUYEN, PETER HOANG (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:HOANG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HOANG
Other - Middle Name:MINH
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:200 JOSE FIGUERES AVE STE 260
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1555
Mailing Address - Country:US
Mailing Address - Phone:408-256-3415
Mailing Address - Fax:888-514-2977
Practice Address - Street 1:200 JOSE FIGUERES AVE STE 260
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116
Practice Address - Country:US
Practice Address - Phone:408-256-3415
Practice Address - Fax:888-514-2977
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA75745207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery