MEDICARE: DR. TU ANH LUONG MD

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
1	207Q00000X	Family Medicine Physician	V7389	TX
2	207P00000X	Emergency Medicine Physician	MD-42701	IA
3	207Q00000X	Family Medicine Physician	MD-25143	HI
4	207Q00000X	Family Medicine Physician	438143	KS
5	207Q00000X	Family Medicine Physician	2012017897	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528320991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TU ANH LUONG MD

Provider Business Mailing Address
First Line	:	8144 NW PRAIRIE VIEW RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-1020
Country	:	US
Telephone Number	:	816-505-3669
Fax Number	:	816-505-3670

Provider Business Practice Location Address
First Line	:	8144 NW PRAIRIE VIEW RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-1020
Country	:	US
Telephone Number	:	816-505-3669
Fax Number	:	816-505-3670

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2012
Last Update Date	:	05/06/2025

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Directions to “ DR. TU ANH LUONG MD” Practice Location

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