Provider Demographics
NPI:1265689301
Name:WU, DONA TSIHWA (MD / PHD)
Entity type:Individual
Prefix:DR
First Name:DONA
Middle Name:TSIHWA
Last Name:WU
Suffix:
Gender:F
Credentials:MD / PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-2349
Mailing Address - Country:US
Mailing Address - Phone:516-514-0105
Mailing Address - Fax:516-706-5849
Practice Address - Street 1:1620 FRONT ST
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-2349
Practice Address - Country:US
Practice Address - Phone:516-514-0105
Practice Address - Fax:516-706-5849
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA64099207RN0300X
WAMD60733508207RN0300X
NY319591207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD027276100Medicaid
MD027276100Medicaid