Provider Demographics
NPI:1932427341
Name:VU, TAN N (MD)
Entity Type:Individual
Prefix:MR
First Name:TAN
Middle Name:N
Last Name:VU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:727 E BETHANY HOME RD STE B112
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-2151
Mailing Address - Country:US
Mailing Address - Phone:602-279-2400
Mailing Address - Fax:602-603-1302
Practice Address - Street 1:727 E BETHANY HOME RD STE B112
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014
Practice Address - Country:US
Practice Address - Phone:602-279-2400
Practice Address - Fax:602-603-1302
Is Sole Proprietor?:No
Enumeration Date:2010-05-10
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ55675207Q00000X
FLME117200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine