Provider Demographics
NPI:1518252576
Name:YU, MICHELLE ANNETTE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ANNETTE
Last Name:YU
Suffix:
Gender:F
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 1:505 PARNASSUS AVE
Mailing Address - Street 2:M-1097, BOX 0111
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2204
Mailing Address - Country:US
Mailing Address - Phone:646-316-5515
Mailing Address - Fax:
Practice Address - Street 1:1237 6TH AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-2501
Practice Address - Country:US
Practice Address - Phone:646-316-5515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-17
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA249219207R00000X
CAA131720207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMICHELLEYUMedicaid
CAMICHELLEYUMedicare Oscar/Certification