NPI Code Details Logo

NPI 1689807455

NPI 1689807455 : HIEU VO M.D. : MEMPHIS, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1689807455
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    HIEU VO M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/27/2009
-----------------------------------------------------
    Last Update Date     |    02/25/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1325 EASTMORELAND AVE STE 445 
-----------------------------------------------------
    City                 |    MEMPHIS
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    38104-7536
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    901-866-8810
-----------------------------------------------------
    Fax                  |    901-302-2445
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1407 UNION AVE STE 700 
-----------------------------------------------------
    City                 |    MEMPHIS
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    38104-3641
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    901-866-8622
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RN0300X
-----------------------------------------------------
    Taxonomy Name        |    Nephrology Physician
-----------------------------------------------------
    License Number       |    MD48850
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.