Provider Demographics
NPI:1306868245
Name:KHUU, CHAU DOAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAU
Middle Name:DOAN
Last Name:KHUU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12335 JAGUAR DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-1254
Mailing Address - Country:US
Mailing Address - Phone:718-795-8703
Mailing Address - Fax:
Practice Address - Street 1:214 AVENUE S
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2629
Practice Address - Country:US
Practice Address - Phone:718-759-6207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237238207LP2900X
TXM4838174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No174400000XOther Service ProvidersSpecialist