Provider Demographics
NPI:1083720312
Name:SUHR, YUN (MD)
Entity Type:Individual
Prefix:
First Name:YUN
Middle Name:
Last Name:SUHR
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 1:1100 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2756
Mailing Address - Country:US
Mailing Address - Phone:206-515-5811
Mailing Address - Fax:206-515-5886
Practice Address - Street 1:11800 NE 128TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-7208
Practice Address - Country:US
Practice Address - Phone:425-821-8004
Practice Address - Fax:425-820-9860
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00038554207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0729SUOtherBLUE SHIELD
WAUS2322647OtherAETNA/USHC SPECIALIST
WA0039581OtherLABOR & INDUSTRY
WAMD6556WOtherALASKA MEDICAID
WA8255754Medicaid
WA0729SUOtherBLUE SHIELD
WA0039581OtherLABOR & INDUSTRY
WAMD6556WOtherALASKA MEDICAID