Provider Demographics
NPI:1477599793
Name:LIN, YU FANG (MD)
Entity Type:Individual
Prefix:DR
First Name:YU FANG
Middle Name:
Last Name:LIN
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 1:9500 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-448-4325
Mailing Address - Fax:
Practice Address - Street 1:1950 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-3719
Practice Address - Country:US
Practice Address - Phone:218-448-4325
Practice Address - Fax:216-448-8615
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT043370207R00000X, 208000000X
NJ25MA09697300207R00000X, 208000000X
NY225506207R00000X, 208000000X
OH35.131449208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004050068OtherBLUE CARE FAMILY PLAN
CTP3645504OtherOXFORD HEALTH PLANS
CT001433705Medicaid
CT2V5555OtherHEALTH NET
NY341AL1OtherEMPIRE BCBS
CT010043370CT01OtherANTHEM BC BS
CT1143916OtherAETNA U.S. HEALTHCARE
CT1264024OtherCIGNA HEALTHCARE
CT2217172OtherUNITED HEALTHCARE
CT225506OtherCONNECTICARE
CT9256891OtherPHCS
CTP00252291OtherRAILROAD MEDICARE
NY341AL1OtherEMPIRE BCBS
CTH72837Medicare UPIN