Individual
KHANH TUAN VU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
381 RUIN CREEK RD, HENDERSON, NC 27536-2932
(252) 430-0666
(252) 430-7503
Mailing address
381 RUIN CREEK RD, HENDERSON, NC 27536-2932
(252) 430-0666
(252) 430-7503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36447
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8985163
—
NC
Enumeration date
07/05/2005
Last updated
10/23/2020
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