MEDICARE: DR. JOSEPH K YAU 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	174377-1205	UT
2	2084P0804X	Child & Adolescent Psychiatry Physician	174377-1205	UT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	E27833	OTHER	UT	MEDICARE HMO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	94298348YAU	OTHER	UT	EDUCATORS MUTUAL INS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	55296	OTHER	UT	DESERET MUTUAL INS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639156649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH K YAU MD

Provider Business Mailing Address
First Line	:	2215 HIGH RIDGE LN
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84092-4860
Country	:	US
Telephone Number	:	801-201-4348
Fax Number	:	801-619-9796

Provider Business Practice Location Address
First Line	:	5667 S REDWOOD RD
Second Line	:
City	:	TAYLORSVILLE
State	:	UT
Zip	:	84123-5433
Country	:	US
Telephone Number	:	801-918-3220
Fax Number	:	801-905-1161

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

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	04/24/2014

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