Provider Demographics
NPI:1962433417
Name:YEH, YUN SZU (MD)
Entity type:Individual
Prefix:DR
First Name:YUN SZU
Middle Name:
Last Name:YEH
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 1:4845 S RAINBOW BLVD STE 401
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-4750
Mailing Address - Country:US
Mailing Address - Phone:702-644-7246
Mailing Address - Fax:702-384-7246
Practice Address - Street 1:4845 S RAINBOW BLVD STE 401
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-4750
Practice Address - Country:US
Practice Address - Phone:702-644-7246
Practice Address - Fax:702-384-7246
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32323261QP3300X, 207LP2900X
NV8342207LP2900X, 261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV54195OtherLUMENOS
NV21197839677404OtherBEECHSTREET
NV5530696OtherAETNA PIN
NVCC7472OtherBLUE CROSS/ BLUE SHEILD
AZAZ0756700OtherAZ BLUE SHEILD
AZ373712Medicaid
AZ5530696OtherAETNA PIN
AZ2Z1333OtherHEALTHNET AZ
NVV40122Medicare PIN
AZZ83502Medicare PIN
AZF91331Medicare UPIN