Provider Demographics
NPI:1467529602
Name:TRIEU, HUY T (MD)
Entity Type:Individual
Prefix:
First Name:HUY
Middle Name:T
Last Name:TRIEU
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 1:157 CAPITOL ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-6231
Mailing Address - Country:US
Mailing Address - Phone:207-626-1078
Mailing Address - Fax:207-622-2398
Practice Address - Street 1:157 CAPITOL ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-6231
Practice Address - Country:US
Practice Address - Phone:207-626-1078
Practice Address - Fax:207-622-2398
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME017241208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME129100000Medicaid
ME0001218Medicare PIN
I38215Medicare UPIN
ME129100000Medicaid