Provider Demographics
NPI:1386651552
Name:YU, WILLIAM D (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
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 1:1019 BRIGHTSEAT RD
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-3738
Mailing Address - Country:US
Mailing Address - Phone:301-350-6009
Mailing Address - Fax:301-350-6119
Practice Address - Street 1:1019 BRIGHTSEAT RD
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-3738
Practice Address - Country:US
Practice Address - Phone:301-350-6009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0054775207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC038051600Medicaid
DCP00376606OtherRR MEDICARE
MD71808309OtherCAREFIRST BCBS
MD1398771OtherAETNA
DC03010001OtherCAREFIRST BCBS
MD258704100Medicaid
MDP00343350OtherRR MEDICARE
DCG02226V01Medicare PIN
MDP00343350OtherRR MEDICARE
MD018871G52Medicare PIN