Provider Demographics
NPI:1346277159
Name:VU, GIAO VAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GIAO
Middle Name:VAN
Last Name:VU
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 1:1863 ALUM ROCK AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1397
Mailing Address - Country:US
Mailing Address - Phone:408-254-0118
Mailing Address - Fax:408-254-2142
Practice Address - Street 1:1863 ALUM ROCK AVE
Practice Address - Street 2:SUITE D
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1397
Practice Address - Country:US
Practice Address - Phone:408-254-0118
Practice Address - Fax:408-254-2142
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2019-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA46581207VX0000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A465810Medicare ID - Type Unspecified
CAB27376Medicare UPIN
CAB27376Medicare UPIN