Provider Demographics
NPI:1083622179
Name:VU, HUAN MAU (MD)
Entity Type:Individual
Prefix:
First Name:HUAN
Middle Name:MAU
Last Name:VU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4180 S RAINBOW BLVD STE 810
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-3135
Mailing Address - Country:US
Mailing Address - Phone:702-383-3645
Mailing Address - Fax:702-435-7050
Practice Address - Street 1:4180 S RAINBOW BLVD STE 810
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103
Practice Address - Country:US
Practice Address - Phone:702-383-3645
Practice Address - Fax:702-435-7050
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV11949207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVI65360Medicare UPIN