Provider Demographics
NPI:1528320991
Name:LUONG, TU ANH (MD)
Entity type:Individual
Prefix:DR
First Name:TU ANH
Middle Name:
Last Name:LUONG
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 1:8144 NW PRAIRIE VIEW RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-1020
Mailing Address - Country:US
Mailing Address - Phone:816-505-3669
Mailing Address - Fax:816-505-3670
Practice Address - Street 1:8144 NW PRAIRIE VIEW RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151-1020
Practice Address - Country:US
Practice Address - Phone:816-505-3669
Practice Address - Fax:816-505-3670
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV7389207Q00000X
IAMD-42701207P00000X
HIMD-25143207Q00000X
KS438143207Q00000X
MO2012017897207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200032704Medicaid
MO201124170AMedicaid