Provider Demographics
NPI:1063525962
Name:VO, CANH JEFF V (DO)
Entity type:Individual
Prefix:DR
First Name:CANH JEFF
Middle Name:V
Last Name:VO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3902 HIGHWAY 22
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-7330
Mailing Address - Country:US
Mailing Address - Phone:985-778-2420
Mailing Address - Fax:339-217-9850
Practice Address - Street 1:3902 HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-7330
Practice Address - Country:US
Practice Address - Phone:985-778-2420
Practice Address - Fax:339-217-9850
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY02626207V00000X
LA325969207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000189727OtherANTHEM BLUE CROSS
KY1138886OtherPASSPORT
KY64026438Medicaid
F85640Medicare UPIN
1869201Medicare ID - Type Unspecified