MEDICARE: HONG 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
1	207T00000X	Neurological Surgery Physician	A107014	CA
2	207T00000X	Neurological Surgery Physician	50077	TN

General Provider Information

NPI Number	:	1144377029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HONG YU MD

Provider Business Mailing Address
First Line	:	T-4224 MCN
Second Line	:	VANDERBILT DEPT OF NEUROSURGERY
City	:	NASHVILLE
State	:	TN
Zip	:	37232-2380
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	T-4224 MCN
Second Line	:	VANDERBILT DEPT OF NEUROSURGERY
City	:	NASHVILLE
State	:	TN
Zip	:	37232-2380
Country	:	US
Telephone Number	:	615-322-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	10/02/2013

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