Provider Demographics
NPI:1215962840
Name:ANH NGUYEN, M.D., P.C.
Entity type:Organization
Organization Name:ANH NGUYEN, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:AHN
Authorized Official - Middle Name:TUAN QUYNHY
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-534-3331
Mailing Address - Street 1:431 PARK AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3305
Mailing Address - Country:US
Mailing Address - Phone:703-534-3331
Mailing Address - Fax:703-534-0704
Practice Address - Street 1:431 PARK AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3305
Practice Address - Country:US
Practice Address - Phone:703-534-3331
Practice Address - Fax:703-534-0704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101235397207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty