Provider Demographics
NPI:1154783645
Name:NGUYEN, MINHVU HOANG (MD, MSC)
Entity type:Individual
Prefix:DR
First Name:MINHVU
Middle Name:HOANG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:DR
Other - First Name:MINH-VU
Other - Middle Name:HOANG
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MSC
Mailing Address - Street 1:4860 Y ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2307
Mailing Address - Country:US
Mailing Address - Phone:916-734-0848
Mailing Address - Fax:
Practice Address - Street 1:4860 Y ST STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:916-734-0848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-23
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0069031207RI0200X
390200000X
CAA152992207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program