Healthcare Provider Details

I. General information

NPI: 1639156649
Provider Name (Legal Business Name): JOSEPH K YAU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2005
Last Update Date: 04/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5667 S REDWOOD RD
TAYLORSVILLE UT
84123-5433
US

IV. Provider business mailing address

2215 HIGH RIDGE LN
SANDY UT
84092-4860
US

V. Phone/Fax

Practice location:
  • Phone: 801-918-3220
  • Fax: 801-905-1161
Mailing address:
  • Phone: 801-201-4348
  • Fax: 801-619-9796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number174377-1205
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number174377-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: