Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | PD225R | LA |
Y | 222Z00000X | Podiatrist | PD225R | LA |
NPI | 1003820788 |
---|---|
Provider Name | Dr. Hieu Vuong |
First Address | Baton Rouge, LA 70816-4361 |
Second Address | Baton Rouge, LA 70816-4361 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 01/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1542466 | (05) | LA |
5431260001 | PALMETTO GBA/CIGNA GOV SERVICES (01) | |
V71265 | (02) | LA |