Provider Demographics
NPI:1548226178
Name:NGUYEN, TUE THI (MD)
Entity type:Individual
Prefix:MRS
First Name:TUE
Middle Name:THI
Last Name:NGUYEN
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 1:7506 CELATA CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-4553
Mailing Address - Country:US
Mailing Address - Phone:619-280-7185
Mailing Address - Fax:619-280-0994
Practice Address - Street 1:4551 EL CAJON BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-4316
Practice Address - Country:US
Practice Address - Phone:619-280-7185
Practice Address - Fax:619-280-0994
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-22
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA49831207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F66456Medicare UPIN