Individual
DOAN VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN ST, CENTRAL CREDENTIALING ML 806, CINCINNATI, OH 45219-2364
(513) 585-5508
(513) 585-5511
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3107
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35-05-5045-V
OH
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35 055045
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000014522
ANTHEM
OH
05
—
0664302
—
OH
05
—
200039120A
—
IN
05
—
64788813
—
KY
01
—
655299
AETNA
OH
Enumeration date
08/27/2006
Last updated
02/21/2018
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