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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598753618 NPPES
Oklahoma MEDICAID 200794250A

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