My Gia Nguyen, MD

Individual provider Active NPI Family Medicine Physician · Oak Hall, VA

NPI 1063472025 · NPPES record last updated Nov 15, 2007

Key facts

NPI
1063472025
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
0101240723 (VA)
Practice address
8034 Lankford Hwy
Oak Hall, VA 23416
Phone
(757) 824-5676
Fax
(757) 824-5872
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5090SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Rural Health System Incorporated Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101240723 VA Yes

Addresses

Primary practice location

8034 Lankford Hwy
Oak Hall, VA 23416

Mailing address

PO Box 1039
Nassawadox, VA 23413-1039
Phone (757) 414-0431

Other providers in Oak Hall, VA

All providers in Oak Hall, VA · Family Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.