Healthcare Provider Details

I. General information

NPI: 1023050010
Provider Name (Legal Business Name): ANH D. VU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9530 COSNER DR SUITE 200
FREDRICKSBURG VA
22408-8709
US

IV. Provider business mailing address

9530 COSNER DR STE 200
FREDERICKSBURG VA
22408-7760
US

V. Phone/Fax

Practice location:
  • Phone: 540-373-1331
  • Fax: 540-373-1124
Mailing address:
  • Phone: 540-373-1331
  • Fax: 540-373-1124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number0101239086
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: