Nguyen, Dan Thach Dam
Nguyen, Dan Thach Dam is an individual health care provider with primary practice located at 1023 Waterwood Pkwy , Edmond OK 73034-5324. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Nguyen, Dan Thach Dam can be contacted via phone (405) 601-2325.Contact Information
Primary practice address
1023 Waterwood Pkwy
Edmond OK 73034-5324
Phone: (405) 601-2325
Fax: (405) 497-6074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 33676 | Oklahoma |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 33676 | Oklahoma |
Profile Details
| NPI number | 1598753618 |
|---|---|
| LBN Legal business name | Nguyen, Dan Thach Dam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Apr 22nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598753618 | NPPES |
| Oklahoma | MEDICAID | 200794250A |
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