Individual
DINH VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 WAYNE ST STE 200, MARIETTA, OH 45750
(740) 374-8272
(740) 374-0509
Mailing address
401 MATTHEW ST, ATTN: CASHIERS, MARIETTA, OH 45750-1635
(740) 374-1413
(740) 376-5078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.120412
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076138
—
OH
01
—
P01227821
RAILROAD MEDICARE
OH
Enumeration date
08/28/2009
Last updated
07/05/2018
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