Provider Demographics
NPI:1093983066
Name:VU, KHOA DANG (MD)
Entity Type:Individual
Prefix:
First Name:KHOA
Middle Name:DANG
Last Name:VU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:38 SEMINOLE AVE
Mailing Address - Street 2:BASEMENT
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-2538
Mailing Address - Country:US
Mailing Address - Phone:571-230-4800
Mailing Address - Fax:
Practice Address - Street 1:1800 HARRISON ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3466
Practice Address - Country:US
Practice Address - Phone:510-625-5947
Practice Address - Fax:510-625-5487
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA102500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine