Provider Demographics
NPI:1528028834
Name:ROGERS, HUNG YU (MD)
Entity Type:Individual
Prefix:DR
First Name:HUNG
Middle Name:YU
Last Name:ROGERS
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 1:1996 DEL PASO RD
Mailing Address - Street 2:SUITE 176
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-7730
Mailing Address - Country:US
Mailing Address - Phone:916-419-8851
Mailing Address - Fax:916-419-8868
Practice Address - Street 1:1996 DEL PASO RD
Practice Address - Street 2:SUITE 176
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-7730
Practice Address - Country:US
Practice Address - Phone:916-419-8851
Practice Address - Fax:916-419-8868
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG78963207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG22482Medicare UPIN
CAZZZ23934ZMedicare ID - Type Unspecified