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NPI Code Detail

MEDICARE: DR. VINCENT O. CHU MD

MEDICARE: DR. VINCENT O. CHU 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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician036-053436IL

General Provider Information

NPI Number : 1649299470
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT O. CHU MD
Provider Business Mailing Address
First Line : 6900 NORTH PECOS ROAD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89086
Country : US
Telephone Number : 702-791-9000
Fax Number :
Provider Business Practice Location Address
First Line : 7235 S BUFFALO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-4040
Country : US
Telephone Number : 702-791-9040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 10/02/2013

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Directions to “ DR. VINCENT O. CHU MD” Practice Location

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