MEDICARE: KAN YU MD,PHD

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	2084N0400X	Neurology Physician	36498	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437372521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAN YU MD,PHD

Provider Business Mailing Address
First Line	:	3303 S LINDSAY RD
Second Line	:	SUITE 118
City	:	GILBERT
State	:	AZ
Zip	:	85297-2100
Country	:	US
Telephone Number	:	480-899-2212
Fax Number	:	480-899-2022

Provider Business Practice Location Address
First Line	:	3303 S LINDSAY RD
Second Line	:	SUITE 118
City	:	GILBERT
State	:	AZ
Zip	:	85297-2100
Country	:	US
Telephone Number	:	480-899-2212
Fax Number	:	480-899-2022

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

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	10/15/2010

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Directions to “ KAN YU MD,PHD” Practice Location

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