Healthcare Provider Details

I. General information

NPI: 1619474509
Provider Name (Legal Business Name): CAMILLA DANYE YU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2018
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6251 E VIRGINIA BEACH BLVD STE 200
NORFOLK VA
23502-2800
US

IV. Provider business mailing address

9500 EUCLID AVE # A81
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 757-213-5770
  • Fax:
Mailing address:
  • Phone: 757-213-5770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101285687
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number0101285687
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: