Healthcare Provider Details
I. General information
NPI: 1073298139
Provider Name (Legal Business Name): HEYUE DU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/16/2023
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
96 ATLANTIC AVE STE 101
OCEAN VIEW DE
19970-9103
US
IV. Provider business mailing address
96 ATLANTIC AVE STE 101
OCEAN VIEW DE
19970-9103
US
V. Phone/Fax
- Phone: 410-546-6400
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | C1-0028789 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: