Provider Demographics
NPI:1396894598
Name:NGUYEN, THUY-LINH DUY (DPM)
Entity type:Individual
Prefix:DR
First Name:THUY-LINH
Middle Name:DUY
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:LINH
Other - Middle Name:D
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:3334 PAPER MILL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:MD
Mailing Address - Zip Code:21131-1419
Mailing Address - Country:US
Mailing Address - Phone:410-666-3668
Mailing Address - Fax:410-666-3669
Practice Address - Street 1:3334 PAPER MILL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:MD
Practice Address - Zip Code:21131-1419
Practice Address - Country:US
Practice Address - Phone:410-666-3668
Practice Address - Fax:410-666-3669
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01455213EP1101X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP01012727OtherRAILROAD MEDICARE
MD002812827OtherUHC
MD7024957OtherAETNA
MD216899OtherCIGNA HEALTHSPRINGS
MDV897OtherCAREFIRST
MD432505200Medicaid
MD2333808OtherCIGNA