| Jefferson C Yu Md | |
|
9440 Grenville Ave Las Vegas NV 89134-6206 | |
| (702) 582-9440 | |
| Not Available |
| Full Name | Jefferson C Yu Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 9440 Grenville Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Jefferson Yu (OWNER) |
| Authorized Official Contact | 7025829440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson C Yu Md Po Box 36830 Las Vegas NV 89133-6830 Ph: () - | Jefferson C Yu Md 9440 Grenville Ave Las Vegas NV 89134-6206 Ph: (702) 582-9440 |
| NPI Number | 1699189746 |
|---|---|
| Provider Enumeration Date | 06/17/2014 |
| Last Update Date | 06/17/2014 |
| Medicare PECOS PAC ID | 5395963441 |
|---|---|
| Medicare Enrollment ID | O20140902001936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699189746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 13594 (Nevada) | Primary |
| Provider Name | Jefferson C Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619175700 PECOS PAC ID: 2163614025 Enrollment ID: I20101011000341 |
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