Provider Demographics
NPI:1114588449
Name:YU, MELODY HOPE (PA-C)
Entity type:Individual
Prefix:MISS
First Name:MELODY
Middle Name:HOPE
Last Name:YU
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-2442
Mailing Address - Country:US
Mailing Address - Phone:919-389-2194
Mailing Address - Fax:
Practice Address - Street 1:3471 5TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3218
Practice Address - Country:US
Practice Address - Phone:412-647-0467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA061575363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical