Provider Demographics
NPI:1285842054
Name:VU, XUAN N (MD)
Entity Type:Individual
Prefix:DR
First Name:XUAN
Middle Name:N
Last Name:VU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8620 N 22ND AVE
Mailing Address - Street 2:200
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-4201
Mailing Address - Country:US
Mailing Address - Phone:602-674-6506
Mailing Address - Fax:602-674-6512
Practice Address - Street 1:6036 N 19TH AVE
Practice Address - Street 2:505
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-2143
Practice Address - Country:US
Practice Address - Phone:602-841-0721
Practice Address - Fax:602-841-0729
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2009-07-06
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Provider Licenses
StateLicense IDTaxonomies
AZ40886207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ378625Medicaid
AZ378625Medicaid