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NPI Code Detail

MEDICARE: WILLIAM D YU MD

MEDICARE:   WILLIAM D YU  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
1207RN0300XNephrology PhysicianD0054775MD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00376606OTHERDCRR MEDICARE
7P00343350OTHERMDRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
371808309OTHERMDCAREFIRST BCBS
41398771OTHERMDAETNA
503010001OTHERDCCAREFIRST BCBS
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386651552
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM D YU MD
Provider Business Mailing Address
First Line : 1019 BRIGHTSEAT RD
Second Line :
City : LANDOVER
State : MD
Zip : 20785-3738
Country : US
Telephone Number : 301-350-6009
Fax Number : 301-350-6119
Provider Business Practice Location Address
First Line : 1019 BRIGHTSEAT RD
Second Line :
City : LANDOVER
State : MD
Zip : 20785-3738
Country : US
Telephone Number : 301-350-6009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 08/18/2009

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Directions to “ WILLIAM D YU MD” Practice Location

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