Provider Demographics
NPI:1962554857
Name:NGUYEN, DUNG VAN (MD)
Entity type:Individual
Prefix:DR
First Name:DUNG
Middle Name:VAN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1431 S BLUFFVIEW DR
Mailing Address - Street 2:SUITE 212
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-3010
Mailing Address - Country:US
Mailing Address - Phone:316-252-8373
Mailing Address - Fax:316-295-4289
Practice Address - Street 1:1431 S BLUFFVIEW DR
Practice Address - Street 2:SUITE 212
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-3010
Practice Address - Country:US
Practice Address - Phone:316-252-8373
Practice Address - Fax:316-295-4289
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2017-01-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-32130207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine