Healthcare Provider Details

I. General information

NPI: 1710099312
Provider Name (Legal Business Name): TRUYEN THE VU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3709 WESTBANK EXPY SUITE 1B
HARVEY LA
70058-2600
US

IV. Provider business mailing address

39 ENGLISH TURN DR
NEW ORLEANS LA
70131-3308
US

V. Phone/Fax

Practice location:
  • Phone: 504-348-2310
  • Fax: 504-348-1942
Mailing address:
  • Phone: 504-393-8081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD014519
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: