Kuo Jung Gordon Lu, MD | |
13285 Minnieville Rd, Woodbridge, VA 22192-4018 | |
(703) 986-2400 | |
Not Available |
Full Name | Kuo Jung Gordon Lu |
---|---|
Gender | Male |
Speciality | Urology |
Location | 13285 Minnieville Rd, Woodbridge, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659891851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 0101275179 (Virginia) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
Mailing Address | Practice Location Address |
---|---|
Kuo Jung Gordon Lu, MD Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Ph: (617) 726-2800 | Kuo Jung Gordon Lu, MD 13285 Minnieville Rd, Woodbridge, VA 22192-4018 Ph: (703) 986-2400 |
Dr. Shawn Marhamati, M.D: Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191 Phone: 703-680-2111 | |
Dr. Brian John Decastro, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191 Phone: 703-546-4782 Fax: 703-546-4782 | |
Ek Seng Lou, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 Phone: 703-680-2111 Fax: 703-878-3939 | |
Dr. John Brian Klein, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 Phone: 703-680-2111 | |
Dr. Pratik S Desai, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 Phone: 703-680-2111 Fax: 703-878-3939 | |
Shawn James Mendonca, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191 Phone: 703-680-2111 Fax: 703-878-3939 |