Provider Demographics
NPI:1053810457
Name:NOI NUYEN MD, PLLC
Entity type:Organization
Organization Name:NOI NUYEN MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOI
Authorized Official - Middle Name:B
Authorized Official - Last Name:NUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-240-0000
Mailing Address - Street 1:PO BOX 440446
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37244-0446
Mailing Address - Country:US
Mailing Address - Phone:865-670-6199
Mailing Address - Fax:865-670-6198
Practice Address - Street 1:214 PROSPERITY DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4702
Practice Address - Country:US
Practice Address - Phone:865-240-0000
Practice Address - Fax:865-409-5010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty