Provider Demographics
NPI:1467685198
Name:VU, DINH (MD)
Entity Type:Individual
Prefix:
First Name:DINH
Middle Name:
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 1:401 MATTHEW ST
Mailing Address - Street 2:ATTN: CASHIERS
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-1635
Mailing Address - Country:US
Mailing Address - Phone:740-374-1413
Mailing Address - Fax:740-376-5078
Practice Address - Street 1:802 WAYNE ST STE 200
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750
Practice Address - Country:US
Practice Address - Phone:740-374-8272
Practice Address - Fax:740-374-0509
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.120412207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0076138Medicaid
OHP01227821OtherRAILROAD MEDICARE
OH0076138Medicaid
OHP01227821OtherRAILROAD MEDICARE