MEDICARE: DR. YURA K WILLIAMS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	D0060343	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023074267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YURA K WILLIAMS MD

Provider Business Mailing Address
First Line	:	PO BOX 44405
Second Line	:
City	:	NOTTINGHAM
State	:	MD
Zip	:	21236-6405
Country	:	US
Telephone Number	:	410-268-8191
Fax Number	:	443-451-8657

Provider Business Practice Location Address
First Line	:	7701 BELAIR RD
Second Line	:
City	:	NOTTINGHAM
State	:	MD
Zip	:	21236-4005
Country	:	US
Telephone Number	:	410-268-8191
Fax Number	:	443-451-8657

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	02/20/2023

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