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NPI Code Detail

MEDICARE: YUCHEN MA M.D.

MEDICARE: YUCHEN MA 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
1208M00000XHospitalist Physician40500KY
2207R00000XInternal Medicine Physician40500KY

Other Identifiers

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

General Provider Information

NPI Number : 1659587921
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUCHEN MA M.D.
Provider Business Mailing Address
First Line : 1221 S BROADWAY
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-2701
Country : US
Telephone Number : 859-258-6200
Fax Number : 859-258-6203
Provider Business Practice Location Address
First Line : 1401 HARRODSBURG RD STE A120
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3779
Country : US
Telephone Number : 859-258-6784
Fax Number : 859-258-6796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 03/29/2022

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Directions to “ YUCHEN MA M.D.” Practice Location

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