Provider Demographics
NPI:1932636081
Name:VU, CHAU NGOC (DO)
Entity Type:Individual
Prefix:DR
First Name:CHAU
Middle Name:NGOC
Last Name:VU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3805 E BELL RD STE 3100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2136
Mailing Address - Country:US
Mailing Address - Phone:414-325-5244
Mailing Address - Fax:414-421-3772
Practice Address - Street 1:10210 N 92ND ST STE 301
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4525
Practice Address - Country:US
Practice Address - Phone:602-867-8644
Practice Address - Fax:602-606-5128
Is Sole Proprietor?:No
Enumeration Date:2017-05-20
Last Update Date:2023-07-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOT017966207R00000X
WI72817207R00000X
WI7281721207RC0000X
AZ010359207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100151065Medicaid