Anh Dai Kim Nguyen, MD

Individual provider Active NPI Allergy Physician · Sterling, VA

NPI 1346219482 · NPPES record last updated Nov 1, 2011

Key facts

NPI
1346219482
Entity type
Individual (NPI type 1)
Primary specialty
Allergy Physician 207KA0200X
License
0101234418 (VA)
Practice address
6 Pidgeon Hill Dr
Suite 205
Sterling, VA 20165-6146
Phone
(703) 444-7234
Fax
(703) 444-7201
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Practice roles

OrganizationSpecialtyStatusNew patients
Accredited Allergy Center of Springfield, LTD Past Accepting new patients
Virginia Center for Allergy, Asthma and Sinus, PC Allergy Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 0101234418 VA Yes

Addresses

Primary practice location

6 Pidgeon Hill Dr
Suite 205
Sterling, VA 20165-6146

Mailing address

PO Box 17334
Baltimore, MD 21297-1334
Phone (703) 443-6717

Other identifiers

IdentifierTypeStateIssuer
010126347MedicaidVA

Other providers in Sterling, VA

All providers in Sterling, VA · Allergy Physician in Virginia

Sources for this page

Verify at the official NPI Registry.