Organization Active NPI

Quan Q Nguyen MD LTD

  • Internal Medicine Physician
  • Annandale, VA
National Provider Identifier
1619280765
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101031734 Issued in VA
Legal business name
QUAN Q NGUYEN MD LTD
Practice address
4217 Evergreen LN
Annandale, VA 22003-3210
Phone
(703) 354-2629
Fax
(703) 941-2918
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Quan Quoc Nguyen, M.D.NPI 1780686444
Title
Physician
Phone
(703) 354-2629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101031734 VA Primary

Addresses

Primary practice location

4217 Evergreen LN
Annandale, VA 22003-3210

Mailing address

4217 Evergreen LN
Annandale, VA 22003-3210
Phone (703) 354-2629

National Provider Directory

National Provider Directory

Locations

4217 Evergreen Ln
Annandale, VA 22003
Phone (703) 354-2629

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1619280765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 EVERGREEN LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033210",
            "telephone_number": "703-354-2629",
            "fax_number": "703-941-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 EVERGREEN LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033210",
            "telephone_number": "703-354-2629",
            "fax_number": "703-941-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAN Q NGUYEN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "QUAN",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-354-2629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101031734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.