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NPI Code Detail

MEDICARE: SAMUEL WU M.D.

MEDICARE: SAMUEL WU M.D.
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
1207R00000XInternal Medicine Physician200400784NC
2207R00000XInternal Medicine Physician0101243872VA
3207RC0000XCardiovascular Disease Physician0101243872VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C06778OTHERVAMEDICARE PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2C09462OTHERVAPTAN

General Provider Information

NPI Number : 1184845760
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL WU M.D.
Provider Business Mailing Address
First Line : 7001 FOREST AVE
Second Line : SUITE 100
City : RICHMOND
State : VA
Zip : 23230-1727
Country : US
Telephone Number : 804-288-0808
Fax Number : 804-288-8887
Provider Business Practice Location Address
First Line : 7001 FOREST AVE
Second Line : SUITE 100
City : RICHMOND
State : VA
Zip : 23230-1727
Country : US
Telephone Number : 804-288-0808
Fax Number : 804-288-8887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 03/07/2023

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