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Individual

THAO H VU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1551 E TANGERINE RD, ORO VALLEY, AZ 85755-6213
(520) 901-3500
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01089504A
IN
207L00000X
Anesthesiology Physician
107732
MT
207L00000X
Anesthesiology Physician
Primary
30722
AZ
207L00000X
Anesthesiology Physician
MD207667
OR
207L00000X
Anesthesiology Physician
MD60010628
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
095200266
MEDICARE PTAN
IN
01
1100155851
ANTHEM PTAN
IN
01
264430G95
MEDICARE
IN
05
300072751
IN
05
8538159
WA
01
Q00601721
RAILROAD PTAN
IN
Enumeration date
08/19/2005
Last updated
07/22/2025
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