Provider Demographics
NPI:1588625826
Name:DEPRY, TU QUYNH (DO)
Entity type:Individual
Prefix:DR
First Name:TU
Middle Name:QUYNH
Last Name:DEPRY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2811 W CESAR CHAVEZ BLVD
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93706-2306
Mailing Address - Country:US
Mailing Address - Phone:559-493-4433
Mailing Address - Fax:559-493-4258
Practice Address - Street 1:2811 W CESAR CHAVEZ BLVD
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93706-2306
Practice Address - Country:US
Practice Address - Phone:559-493-4433
Practice Address - Fax:559-493-4258
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8876207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH47792Medicare UPIN
H47792Medicare UPIN