MEDICARE: AMY TU 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
1	207V00000X	Obstetrics & Gynecology Physician	MD00043435	WA

General Provider Information

NPI Number	:	1942264254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY TU M.D.

Provider Business Mailing Address
First Line	:	12910 TOTEM LAKE BLVD NE STE 102
Second Line	:
City	:	KIRKLAND
State	:	WA
Zip	:	98034-2901
Country	:	US
Telephone Number	:	425-899-4455
Fax Number	:	425-899-4434

Provider Business Practice Location Address
First Line	:	12910 TOTEM LAKE BLVD NE STE 102
Second Line	:
City	:	KIRKLAND
State	:	WA
Zip	:	98034-2901
Country	:	US
Telephone Number	:	425-899-4455
Fax Number	:	425-899-4434

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	10/09/2013

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