Provider Demographics
NPI:1588625826
Name:DEPRY, TU QUYNH (DO)
Entity Type:Individual
Prefix:DR
First Name:TU
Middle Name:QUYNH
Last Name:DEPRY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6246 N. FIRST STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-3574
Mailing Address - Country:US
Mailing Address - Phone:559-431-5901
Mailing Address - Fax:559-431-5903
Practice Address - Street 1:6246 N. FIRST STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-3574
Practice Address - Country:US
Practice Address - Phone:559-431-5901
Practice Address - Fax:559-431-5903
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A8876207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH47792Medicare UPIN
H47792Medicare UPIN