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NPI Code Detail

MEDICARE: DA YU N/A YU M.D.

MEDICARE: DA YU N/A YU M.D.
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
1208600000XSurgery Physician23927NV

General Provider Information

NPI Number : 1396278602
Entity Type Code : Individual
Provider Name (Legal Business Name) : DA YU N/A YU M.D.
Provider Business Mailing Address
First Line : 6240 N DURANGO DR STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3941
Country : US
Telephone Number : 702-791-7855
Fax Number :
Provider Business Practice Location Address
First Line : 6240 N DURANGO DR STE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3941
Country : US
Telephone Number : 702-791-7855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2017
Last Update Date : 08/07/2023

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Directions to “ DA YU N/A YU M.D.” Practice Location

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