| Provider / Organization | NPI | Date Certified |
|---|---|---|
| VAN MINH NGUYEN | 1992197032 | 2024-01-07 |
Van Nguyen [M] graduated in 2014 and primarily specializes in Physician Assistant.
Van Minh Nguyen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1992197032. Registration indicates Van Minh Nguyen is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 5092022566 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Van Minh Nguyen PA-C |
| Practice Office Address | 9901 MEDICAL CENTER DR ROCKVILLE, MD US |
| Practice Office Telephone | 2408266000 |
| Mailing Address | 10438 DAMASCUS PARK LN DAMASCUS, MD 208722735 US |
| Business Telephone | 2408556129 |
| Business Fax | 2029691798 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 20410 Observation Dr | Germantown, MD 208764000 | 2028352222 / 2029691798 |
| 803 Russell Ave Ste 1A | Gaithersburg, MD 208793584 | 3018690700 |
| 15215 Shady Grove Rd Ste 100 | Rockville, MD 208503235 | 3015190902 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers |
DC |
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | C05744
MD |