Provider Demographics
NPI:1194307546
Name:TRIEU, RICHARD JAY (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:JAY
Last Name:TRIEU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD # MS 1023
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:913-588-3975
Practice Address - Street 1:3901 RAINBOW BLVD # MS 1023
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-4330
Practice Address - Country:US
Practice Address - Phone:913-588-6019
Practice Address - Fax:913-588-3975
Is Sole Proprietor?:No
Enumeration Date:2021-04-26
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS9411691207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology