Provider Demographics
NPI:1710099312
Name:VU, TRUYEN THE (MD)
Entity Type:Individual
Prefix:DR
First Name:TRUYEN
Middle Name:THE
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 1:39 ENGLISH TURN DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-3308
Mailing Address - Country:US
Mailing Address - Phone:504-393-8081
Mailing Address - Fax:
Practice Address - Street 1:3709 WESTBANK EXPY
Practice Address - Street 2:SUITE 1B
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-2600
Practice Address - Country:US
Practice Address - Phone:504-348-2310
Practice Address - Fax:504-348-1942
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD014519208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1311073Medicaid
LA1311073Medicaid
LAB60599Medicare UPIN