Provider Demographics
NPI:1346419918
Name:NGUYEN, THANH DINH (MD)
Entity type:Individual
Prefix:DR
First Name:THANH
Middle Name:DINH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3393 G ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-0964
Mailing Address - Country:US
Mailing Address - Phone:209-230-9065
Mailing Address - Fax:209-349-8511
Practice Address - Street 1:3393 G ST
Practice Address - Street 2:SUITE D
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-0964
Practice Address - Country:US
Practice Address - Phone:209-230-9065
Practice Address - Fax:209-349-8511
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA86202207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology