Provider Demographics
NPI:1053303743
Name:YU, MIN (MD)
Entity type:Individual
Prefix:DR
First Name:MIN
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 SCOTISH DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-8755
Mailing Address - Country:US
Mailing Address - Phone:410-810-5659
Mailing Address - Fax:410-778-7651
Practice Address - Street 1:100 BROWN ST
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-1435
Practice Address - Country:US
Practice Address - Phone:410-810-5659
Practice Address - Fax:410-778-7651
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0068032207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00233092OtherRAILROAD MEDICARE
VA010171997Medicaid
VA179166OtherANTHEM BCBS
WV38100002597Medicaid
MDZBW0Medicare PIN
WV38100002597Medicaid
P00233092OtherRAILROAD MEDICARE