Provider Demographics
NPI:1306864947
Name:LUU, HENRY GAI HUNG (DO)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:GAI HUNG
Last Name:LUU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 TREELINE DR
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-4776
Mailing Address - Country:US
Mailing Address - Phone:610-999-2574
Mailing Address - Fax:
Practice Address - Street 1:1450 E BOOT RD STE 200C
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5999
Practice Address - Country:US
Practice Address - Phone:610-343-1333
Practice Address - Fax:877-233-5612
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC2-0012469207Q00000X, 207QA0401X
IN02003097A207Q00000X
PAOS015580207Q00000X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine