Provider Demographics
NPI:1376660498
Name:HU, YINGCHUAN (MD, PHD)
Entity Type:Individual
Prefix:
First Name:YINGCHUAN
Middle Name:
Last Name:HU
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 NORTHSTAR WAY
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95356
Mailing Address - Country:US
Mailing Address - Phone:209-577-1200
Mailing Address - Fax:209-579-9573
Practice Address - Street 1:4301 NORTHSTAR WAY
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356
Practice Address - Country:US
Practice Address - Phone:209-577-1200
Practice Address - Fax:209-579-9573
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD444156207ZP0101X
CAA113024207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology