Provider Demographics
NPI:1164427175
Name:VU, NGOC (MD)
Entity Type:Individual
Prefix:
First Name:NGOC
Middle Name:
Last Name:VU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NGOC
Other - Middle Name:
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 603725
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3725
Mailing Address - Country:US
Mailing Address - Phone:828-575-2625
Mailing Address - Fax:828-350-2174
Practice Address - Street 1:100 ELDEN ST
Practice Address - Street 2:STE 10
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4833
Practice Address - Country:US
Practice Address - Phone:703-689-2000
Practice Address - Fax:703-478-6612
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101226449207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1164427175Medicaid
VA752351OtherMEDICARE PTAN