Basic Information
| Provider Information | |||||||||
| NPI: | 1093274839 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NGUYEN | ||||||||
| FirstName: | MICHAEL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 110 IRVING ST. NW | ||||||||
| Address2: | DEPARTMENT OF EMERGENCY MEDICINE | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 20010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028778080 | ||||||||
| FaxNumber: | 2028777633 | ||||||||
| Practice Location | |||||||||
| Address1: | 110 IRVING ST. NW | ||||||||
| Address2: | DEPARTMENT OF EMERGENCY MEDICINE | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 20010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028778080 | ||||||||
| FaxNumber: | 2028777633 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/19/2019 | ||||||||
| LastUpdateDate: | 08/12/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/12/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | D0094938 | MD | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 0101275209 | VA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | CS210126228 | DC | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.