Provider Demographics
NPI:1528041092
Name:VU, HOA D (MD)
Entity Type:Individual
Prefix:DR
First Name:HOA
Middle Name:D
Last Name:VU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 9057
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92375
Mailing Address - Country:US
Mailing Address - Phone:909-381-3900
Mailing Address - Fax:909-886-6704
Practice Address - Street 1:7223 CHURCH ST
Practice Address - Street 2:SUITE A-20
Practice Address - City:HIGHLAND
Practice Address - State:CA
Practice Address - Zip Code:92346-5869
Practice Address - Country:US
Practice Address - Phone:909-381-3900
Practice Address - Fax:909-886-6704
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA62459207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H40086Medicare UPIN