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NPI Code Detail

MEDICARE: DR. MIN YU MD

MEDICARE: DR. MIN YU MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianD0068032MD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00233092OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3179166OTHERVAANTHEM BCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053303743
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIN YU MD
Provider Business Mailing Address
First Line : 210 SCOTISH DR
Second Line :
City : MIDDLETOWN
State : DE
Zip : 19709-8755
Country : US
Telephone Number : 410-810-5659
Fax Number : 410-778-7651
Provider Business Practice Location Address
First Line : 100 BROWN ST
Second Line :
City : CHESTERTOWN
State : MD
Zip : 21620-1435
Country : US
Telephone Number : 410-810-5659
Fax Number : 410-778-7651
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 04/02/2012

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Directions to “ DR. MIN YU MD” Practice Location

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