Provider Demographics
NPI:1275861924
Name:KHIN, YU YU (MD)
Entity Type:Individual
Prefix:DR
First Name:YU YU
Middle Name:
Last Name:KHIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 E RUNDBERG LN
Mailing Address - Street 2:SUITE B1
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-4808
Mailing Address - Country:US
Mailing Address - Phone:512-978-9600
Mailing Address - Fax:512-978-9601
Practice Address - Street 1:825 E RUNDBERG LN
Practice Address - Street 2:SUITE B1
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-4808
Practice Address - Country:US
Practice Address - Phone:512-978-9600
Practice Address - Fax:512-978-9601
Is Sole Proprietor?:No
Enumeration Date:2009-11-18
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD 2009-0602207R00000X
TXP0842207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine