Provider Demographics
NPI:1043471170
Name:VUTIEN, THUY-HUONG R (MD)
Entity Type:Individual
Prefix:DR
First Name:THUY-HUONG
Middle Name:R
Last Name:VUTIEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ROSELYNE
Other - Middle Name:T
Other - Last Name:VUTIEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2929 E THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-8034
Mailing Address - Country:US
Mailing Address - Phone:602-470-5000
Mailing Address - Fax:
Practice Address - Street 1:811 S HAMILTON ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-6308
Practice Address - Country:US
Practice Address - Phone:480-344-6100
Practice Address - Fax:480-344-6101
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ40498207R00000X
CA192713207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ344181Medicaid
AZ344181Medicaid
AZZ123055Medicare PIN