Healthcare Provider Details

I. General information

NPI: 1477750768
Provider Name (Legal Business Name): YIN C HU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 12/10/2020
Certification Date: 12/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

IV. Provider business mailing address

20800 HARVARD RD 2ND FLOOR
HIGHLAND HILLS OH
44122-7249
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-3004
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number35.126108
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: