Provider Demographics
NPI:1881391001
Name:NGUYEN, MAY-ANH (MD)
Entity type:Individual
Prefix:DR
First Name:MAY-ANH
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TO MONG ANH
Other - Middle Name:
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2512 SAMARITAN CT STE G
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-4002
Mailing Address - Country:US
Mailing Address - Phone:650-282-3000
Mailing Address - Fax:
Practice Address - Street 1:2512 SAMARITAN CT STE G
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4002
Practice Address - Country:US
Practice Address - Phone:650-282-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-08
Last Update Date:2025-02-07
Deactivation Date:2023-09-11
Deactivation Code:
Reactivation Date:2023-11-24
Provider Licenses
StateLicense IDTaxonomies
MA1014530208600000X
CAA198532208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery