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NPI Code Detail

MEDICARE: YU WAH M.D.

MEDICARE: YU WAH M.D.
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
1207Q00000XFamily Medicine PhysicianA105190CA
2207Q00000XFamily Medicine PhysicianN7762TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1281183802OTHERTXCSHCN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538321856
Entity Type Code : Individual
Provider Name (Legal Business Name) : YU WAH M.D.
Provider Business Mailing Address
First Line : 6410 FANNIN ST STE 170
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3003
Country : US
Telephone Number : 323-256-5008
Fax Number :
Provider Business Practice Location Address
First Line : 6410 FANNIN ST STE 170
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3003
Country : US
Telephone Number : 323-256-5008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2008
Last Update Date : 09/28/2021

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Directions to “ YU WAH M.D.” Practice Location

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