Provider Demographics
NPI:1356578652
Name:VU, THUY-ANH HOANG (MD)
Entity type:Individual
Prefix:
First Name:THUY-ANH
Middle Name:HOANG
Last Name:VU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:THUY-ANH
Other - Middle Name:
Other - Last Name:VU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PLLC
Mailing Address - Street 1:9617 JOMAR DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-2014
Mailing Address - Country:US
Mailing Address - Phone:571-276-3741
Mailing Address - Fax:
Practice Address - Street 1:3023 HAMAKER COUURT
Practice Address - Street 2:SUITE 300
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2247
Practice Address - Country:US
Practice Address - Phone:703-876-2788
Practice Address - Fax:571-405-5720
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116021341390200000X
VA01012549942084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program