Healthcare Provider Details
I. General information
NPI: 1750175865
Provider Name (Legal Business Name): YUNNA GU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2115 WISCONSIN AVE NW STE 200
WASHINGTON DC
20007-2265
US
IV. Provider business mailing address
2115 WISCONSIN AVE NW STE 200
WASHINGTON DC
20007-2265
US
V. Phone/Fax
- Phone: 202-944-5400
- Fax: 855-771-6849
- Phone: 202-944-5400
- Fax: 855-771-6849
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: