Provider Demographics
NPI:1992949234
Name:VO, YEN VAN DINH (MD)
Entity type:Individual
Prefix:
First Name:YEN VAN
Middle Name:DINH
Last Name:VO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YEN VAN
Other - Middle Name:DINH
Other - Last Name:VO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:18252 MANCHAC PLACE DR
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-3355
Mailing Address - Country:US
Mailing Address - Phone:225-315-3481
Mailing Address - Fax:
Practice Address - Street 1:1430 TULANE AVE # SL-79
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:504-988-5224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-30
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program