Provider Demographics
NPI:1356308332
Name:LU, RUI (MD)
Entity Type:Individual
Prefix:DR
First Name:RUI
Middle Name:
Last Name:LU
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 1:106 IRVING ST NW
Mailing Address - Street 2:SUITE 411
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2927
Mailing Address - Country:US
Mailing Address - Phone:202-877-7080
Mailing Address - Fax:202-877-7089
Practice Address - Street 1:106 IRVING ST NW
Practice Address - Street 2:SUITE411
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2927
Practice Address - Country:US
Practice Address - Phone:202-877-7080
Practice Address - Fax:202-877-7089
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2013-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD33677207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCK629-0001OtherBLUECROSS BLUESHIELDS
DC036374100Medicaid
MD406813100Medicaid
DC7919685OtherAETNA
DC7919685OtherAETNA
MD406813100Medicaid
DC036374100Medicaid