Provider Demographics
NPI:1134737018
Name:VU, VIVIAN HUONG THIEN (MD)
Entity type:Individual
Prefix:
First Name:VIVIAN
Middle Name:HUONG THIEN
Last Name:VU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 KENSINGTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:NORTH YORK
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M2M 1R6
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:SUNNYBROOK HEALTH SCIENCES CENTRE, 2075 BAYVIEW AVENUE
Practice Address - Street 2:H-WING, GROUND FLOOR, ROOM HG 39
Practice Address - City:TORONTO
Practice Address - State:ONTARIO
Practice Address - Zip Code:M4N 3M5
Practice Address - Country:CA
Practice Address - Phone:416-480-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-16
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116034296207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine