Provider Demographics
NPI:1285928614
Name:YAO, PATRICK DEAN-YU (DO)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:DEAN-YU
Last Name:YAO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18695 W 151ST ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-2738
Mailing Address - Country:US
Mailing Address - Phone:913-782-3322
Mailing Address - Fax:
Practice Address - Street 1:18695 W 151ST ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-2738
Practice Address - Country:US
Practice Address - Phone:913-782-3322
Practice Address - Fax:913-782-3907
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-39495207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201146200AMedicaid
KS201146200AMedicaid