Provider Demographics
NPI:1992921332
Name:NGUYEN, NHAN TAN TRONG (MD)
Entity type:Individual
Prefix:DR
First Name:NHAN
Middle Name:TAN TRONG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 KING ST APT 855
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-6413
Mailing Address - Country:US
Mailing Address - Phone:415-810-4179
Mailing Address - Fax:
Practice Address - Street 1:260 KING ST APT 855
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-6413
Practice Address - Country:US
Practice Address - Phone:415-810-4179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74736208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery