Provider Demographics
NPI:1679716013
Name:HUYNH, NGA T (MD)
Entity type:Individual
Prefix:
First Name:NGA
Middle Name:T
Last Name:HUYNH
Suffix:
Gender:F
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:PO BOX 17452
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38187-0452
Mailing Address - Country:US
Mailing Address - Phone:713-628-8199
Mailing Address - Fax:901-234-0065
Practice Address - Street 1:1661 INTERNATIONAL DR STE 400
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-1431
Practice Address - Country:US
Practice Address - Phone:901-720-5101
Practice Address - Fax:901-234-0065
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-15
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN515962084P0804X, 2084P0800X
ARE-74122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry