Individual
QUAN DUH MAYN VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2722 MERRILEE DR, SUITE 230, FAIRFAX, VA 22031-4420
(703) 698-4483
(703) 698-2176
Mailing address
2722 MERRILEE DR, SUITE 230, FAIRFAX, VA 22031-4420
(703) 698-4483
(703) 698-2176
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101246806
VA
2085R0202X
Diagnostic Radiology Physician
D0068826
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021695000
—
MD
05
—
069758400
—
DC
05
—
1225243637
—
VA
Enumeration date
05/11/2007
Last updated
03/11/2010
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