Provider Demographics
NPI:1265530216
Name:NGUYEN, TUAN N (MD)
Entity type:Individual
Prefix:
First Name:TUAN
Middle Name:N
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 1:200 JOSE FIGUERES AVE STE 380
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1591
Mailing Address - Country:US
Mailing Address - Phone:408-259-0737
Mailing Address - Fax:408-259-0649
Practice Address - Street 1:200 JOSE FIGUERES AVE STE 380
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1591
Practice Address - Country:US
Practice Address - Phone:408-259-0737
Practice Address - Fax:408-259-0649
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA-49096207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A490960Medicaid
CA00A490960Medicaid
F53222Medicare UPIN