Provider Demographics
NPI:1619108354
Name:YU, KEWEI (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:KEWEI
Middle Name:
Last Name:YU
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 1:3651 PEACHTREE PKWY
Mailing Address - Street 2:STE E-313
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6009
Mailing Address - Country:US
Mailing Address - Phone:470-268-6980
Mailing Address - Fax:888-815-1765
Practice Address - Street 1:3925 JOHNS CREEK CT STE C2
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6618
Practice Address - Country:US
Practice Address - Phone:470-268-6980
Practice Address - Fax:888-815-1765
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1271012084N0400X
GA787362084N0600X, 208VP0014X, 2084N0400X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine