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NPI Code Detail

MEDICARE: MARIO YU MD NEUROLOGY PC

MEDICARE: MARIO YU MD NEUROLOGY PC
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
12084N0400XNeurology PhysicianMD R5892MO

General Provider Information

NPI Number : 1881880128
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARIO YU MD NEUROLOGY PC
Provider Business Mailing Address
First Line : 5620 W 86TH ST
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66207-1604
Country : US
Telephone Number : 913-473-4195
Fax Number :
Provider Business Practice Location Address
First Line : 11201 COLORADO AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64137-2502
Country : US
Telephone Number : 816-763-5200
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. MARIO YU
Credential : MD
Telephone Number : 913-473-4195
Provider Enumeration Date : 09/20/2007
Last Update Date : 09/20/2007

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Directions to “MARIO YU MD NEUROLOGY PC ” Practice Location

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