Individual
DR. NHAN TRONG LUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
269 PORTLAND WAY S, GALION, OH 44833-2312
(419) 462-4575
Mailing address
269 PORTLAND WAY S, GALION, OH 44833-2312
(419) 462-4575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A112528
CA
207RN0300X
Nephrology Physician
036137552
IL
207RN0300X
Nephrology Physician
Primary
35128245
OH
208M00000X
Hospitalist Physician
036.137552
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103175
—
OH
01
—
214881
MEDICARE GROUP
IL
01
—
H360616
MEDICARE
OH
Enumeration date
01/25/2011
Last updated
11/18/2020
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