Provider Demographics
NPI:1538425947
Name:VU, KHANH THI NHA (MD)
Entity type:Individual
Prefix:DR
First Name:KHANH THI NHA
Middle Name:
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 1:17 CHRISTAMON S
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-1831
Mailing Address - Country:US
Mailing Address - Phone:321-704-5837
Mailing Address - Fax:
Practice Address - Street 1:51 GLASGOW AVE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-6440
Practice Address - Country:US
Practice Address - Phone:716-664-8670
Practice Address - Fax:716-664-8672
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361296342085R0001X
ND87612085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology