Provider Demographics
NPI:1154312643
Name:YUE, SUSAN V (MD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:V
Last Name:YUE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4891 INDEPENDENCE ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6752
Mailing Address - Country:US
Mailing Address - Phone:303-456-7495
Mailing Address - Fax:303-456-7490
Practice Address - Street 1:8410 DECATUR STREET
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-3811
Practice Address - Country:US
Practice Address - Phone:303-430-7000
Practice Address - Fax:303-430-1506
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2008-10-22
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Provider Licenses
StateLicense IDTaxonomies
CO42570207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COP00134758OtherRR MEDICARE
CO96389541Medicaid
H48866Medicare UPIN
CO96389541Medicaid