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NPI Code Detail

MEDICARE: DR. DOE-HYUN ROBERT YOO D.O.

MEDICARE: DR. DOE-HYUN ROBERT YOO D.O.
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
1207R00000XInternal Medicine Physician200500567NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5806681OTHERNCPARTNERS 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
2182168OTHERNCMEDCOST
33970850OTHERNCAETNA
4140GJOTHERNCBCBS NC

General Provider Information

NPI Number : 1588613095
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOE-HYUN ROBERT YOO D.O.
Provider Business Mailing Address
First Line : 1200 N ELM ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1004
Country : US
Telephone Number : 336-832-7000
Fax Number :
Provider Business Practice Location Address
First Line : 3803 ROBERT PORCHER WAY
Second Line :
City : GREENSBORO
State : NC
Zip : 27410-2191
Country : US
Telephone Number : 336-286-3442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 12/03/2012

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