# DR. VIVIAN MAI HATHUC

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073809182
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZH0000X | Hematology (Pathology) Physician | 036151274 | IL | — |
| 207ZH0000X | Hematology (Pathology) Physician | 2019035300 | MO | — |
| 207ZP0101X | Anatomic Pathology Physician | 2019035300 | MO | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 036151274 | IL | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 2019035300 | MO | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 173157 | NC | — |

## Other

- **Enumeration date:** 06/27/2011
- **Last updated:** 02/05/2021