Tao Yu Md Llc | |
121 Congressional Ln Ste 404 Rockville MD 20852-1542 | |
(301) 231-6669 | |
(301) 231-6667 |
Full Name | Tao Yu Md Llc |
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Speciality | Internal Medicine |
Location | 121 Congressional Ln Ste 404, Rockville, Maryland |
Authorized Official Name and Position | Tao Yu (OWNER) |
Authorized Official Contact | 2672106119 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tao Yu Md Llc 12112 Gatewater Dr Potomac MD 20854-2873 Ph: () - | Tao Yu Md Llc 121 Congressional Ln Ste 404 Rockville MD 20852-1542 Ph: (301) 231-6669 |
NPI Number | 1245690130 |
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Provider Enumeration Date | 03/04/2016 |
Last Update Date | 04/23/2018 |
Medicare PECOS PAC ID | 4789971128 |
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Medicare Enrollment ID | O20160928001341 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245690130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D69800 (Maryland) | Primary |
Provider Name | Tao Yu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235464678 PECOS PAC ID: 6901945070 Enrollment ID: I20091202000549 |
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