Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 0101250133 | VA |
NPI | 1063639011 |
---|---|
Provider Name | John Nhu Khuu |
First Address | Fairfax, VA 22030-5955 |
Second Address | Fairfax, VA 22030-5955 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 12/02/2021 |