Provider Demographics
NPI:1437125564
Name:YU, WARREN D
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:D
Last Name:YU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 PENNSYLVANIA AVE NW
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-3201
Mailing Address - Country:US
Mailing Address - Phone:202-741-3309
Mailing Address - Fax:202-741-3313
Practice Address - Street 1:2150 PENNSYLVANIA AVE NW
Practice Address - Street 2:7TH FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3201
Practice Address - Country:US
Practice Address - Phone:202-741-3309
Practice Address - Fax:202-741-3313
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD32441207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD742200800Medicaid
DC027225100Medicaid
VA006401058Medicaid
H26881Medicare UPIN
DC005946M83Medicare ID - Type Unspecified