Nguyen, Tan Duy

Nguyen, Tan Duy is an sole proprietor health care provider with primary practice located at 333 Estudillo Ave Suite A, San Leandro CA 94577-4717. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Nguyen, Tan Duy can be contacted via phone (510) 351-1411.

Contact Information

Primary practice address
333 Estudillo Ave Suite A San Leandro CA 94577-4717
Fax: (510) 351-1412
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X E3377 California

Profile Details

NPI number 1811026339
LBN Legal business name Nguyen, Tan Duy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811026339 NPPES
California MEDICAID 000E33770

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