1073724217 NPI number — DR. DUKE TRINH KHUU MD FAAD

Table of content: DR. DUKE TRINH KHUU MD FAAD (NPI 1073724217)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073724217 NPI number — DR. DUKE TRINH KHUU MD FAAD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KHUU
Provider First Name:
DUKE
Provider Middle Name:
TRINH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD FAAD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073724217
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/06/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
889 CASTRO ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOUNTAIN VIEW
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94041-2014
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-969-5488
Provider Business Mailing Address Fax Number:
650-969-7546

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
889 CASTRO ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNTAIN VIEW
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94041-2014
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-969-5488
Provider Business Practice Location Address Fax Number:
650-969-7546
Provider Enumeration Date:
05/26/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X , with the licence number:  A100004 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)