Provider Demographics
NPI:1114925252
Name:YUKO, RONALD T (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:T
Last Name:YUKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:131 COMMONWEALTH DR
Mailing Address - Street 2:SUITE 290
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615
Mailing Address - Country:US
Mailing Address - Phone:864-281-9440
Mailing Address - Fax:864-281-9443
Practice Address - Street 1:131 COMMONWEALTH DR
Practice Address - Street 2:SUITE 290
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4883
Practice Address - Country:US
Practice Address - Phone:864-281-9440
Practice Address - Fax:864-281-9443
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCSC17045207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCTL8430Medicaid
SCF64753Medicare UPIN