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NPI Code Detail

MEDICARE: LONG VU M.D.

MEDICARE: LONG VU M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianMD492861CPA
2207RG0100XGastroenterology PhysicianMD228104OR
3390200000XStudent in an Organized Health Care Education/Training Program
4207R00000XInternal Medicine Physician57.024964OH

General Provider Information

NPI Number : 1477973535
Entity Type Code : Individual
Provider Name (Legal Business Name) : LONG VU M.D.
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-5957
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195
Country : US
Telephone Number : 216-444-5957
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2014
Last Update Date : 02/11/2026

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