Provider Demographics
NPI:1205878378
Name:VU, CUONG D (MD)
Entity type:Individual
Prefix:DR
First Name:CUONG
Middle Name:D
Last Name:VU
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Gender:M
Credentials:MD
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Mailing Address - Street 1:7501 GREENWAY CENTER DR
Mailing Address - Street 2:# 300
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3514
Mailing Address - Country:US
Mailing Address - Phone:301-474-4679
Mailing Address - Fax:301-474-7182
Practice Address - Street 1:2002 MEDICAL PKWY
Practice Address - Street 2:#450
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3046
Practice Address - Country:US
Practice Address - Phone:410-224-6680
Practice Address - Fax:410-224-4620
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2019-11-14
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Provider Licenses
StateLicense IDTaxonomies
VA0101055380207WX0107X, 207W00000X
MDD57483207WX0107X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD137902400Medicaid
MD150761300Medicaid
MDG93655Medicare UPIN
MD150761300Medicaid
MDKQ41A573Medicare PIN