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TIM VU MD NPI 1417169962


NPI Information

NPI: 1417169962
Provider Name: TIM VU, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: CEC DEZAVALA ER PHYSICIANS PLLC

PECOS Registration: Yes

Address:
500 N RAINBOW BLVD
LAS VEGAS, NV
ZIP 89107
Phone: (702) 259-1228
Get Directions

Tim Vu, MD is an emergency medicine in Las Vegas, NV with 20 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Tim Vu, MD NPI is 1417169962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:2004

The provider's business location address is:

500 N RAINBOW BLVD
LAS VEGAS, NV
ZIP 89107-082
Phone: (702) 259-1228

The NPI 1417169962 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/5/2007 and was last updated on 11/4/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine12938NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BJ775ZMEDICARE PINNEVADA
212938OTHERNEVADANV MEDICAL LICENSE
3BJ775WMEDICARE PINNEVADA
4CS17711OTHERNEVADANV PHARMACY CERTIFICATE
5FV1182637OTHERNEVADADEA
61417169968MEDICAIDNEVADA
7BJ775XMEDICARE PINNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.