Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01709 | NC |
N | 111NI0900X | Internist | 01709 | NC |
N | 207RN0300X | Nephrologist | 01709 | NC |
N | 208000000X | Pediatrician | 01709 | NC |
Y | 2080P0210X | Pediatric Nephrologist | 01709 | NC |
NPI | 1447631866 |
---|---|
Provider Name | Duy Vu |
First Address | Chapel Hill, NC 27599-7156 |
Second Address | Chapel Hill, NC 27599-4637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2015 |
Last Update Date | 19/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1447631866 | (05) | OK |