Basic Information
Provider Information
NPI: 1053810457
EntityType: 2
ReplacementNPI:  
OrganizationName: NOI NUYEN MD, PLLC
LastName:  
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Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: PO BOX 440446
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372440446
CountryCode: US
TelephoneNumber: 8656706199
FaxNumber: 8656706198
Practice Location
Address1: 214 PROSPERITY DR
Address2:  
City: KNOXVILLE
State: TN
PostalCode: 379234702
CountryCode: US
TelephoneNumber: 8652400000
FaxNumber: 8654095010
Other Information
ProviderEnumerationDate: 02/12/2018
LastUpdateDate: 02/12/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: NUYEN
AuthorizedOfficialFirstName: NOI
AuthorizedOfficialMiddleName: B.
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 8652400000
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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