HONG, YU (MD)

Provider Demographics

• NPI: 1689965949
• Name: HONG, YU (MD)
• Entity Type: Individual
• Prefix: DR
• First Name: YU
• Last Name: HONG
• Gender: M
• Credentials: MD
• Mailing Address - Street 1: 10800 E GEDDES AVE STE 300
• Mailing Address - City: ENGLEWOOD
• Mailing Address - State: CO
• Mailing Address - Zip Code: 80112-3895
• Mailing Address - Country: US
• Mailing Address - Phone: 303-761-9190
• Mailing Address - Fax: 720-874-4462
• Practice Address - Street 1: 10800 E GEDDES AVE STE 300
• Practice Address - City: ENGLEWOOD
• Practice Address - State: CO
• Practice Address - Zip Code: 80112-3895
• Practice Address - Country: US
• Practice Address - Phone: 303-761-9190
• Practice Address - Fax: 720-874-4462
• Is Sole Proprietor?: Yes
• Enumeration Date: 2011-04-21
• Last Update Date: 2022-12-12

Provider Licenses

State	License ID	Taxonomies
TX	P6421	2085R0202X
IL	036140085	2085R0202X
NE	29847	2085R0202X
KS	04-39648	2085R0202X
HI	MD19108	2085R0202X
		390200000X
CO	57895	2085R0202X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology
No	390200000X	Student, Health Care	Student in an Organized Health Care Education/Training Program

Provider Identifiers

State	Identifier ID	ID Type	Issuer
CO	561538YQPG	Other	MEDICARE PIN
CO	561538YQ33	Other	MEDICARE PIN
KS	KA3249090	Other	MEDICARE PIN
NE	NA1215113	Other	MEDICARE PIN
NE	NA2517091	Other	MEDICARE PIN
CO	1689965949	Medicaid
NE	NA1214111	Other	MEDICARE PIN
KS	111257099	Other	MEDICARE PIN
CO	561538YQN9	Other	MEDICARE PIN
CO	561538ZLJ3	Other	MEDICARE PIN
CO	561538ZLJ3	Other	MEDICARE PIN
NE	$$$$$$$$$00	Medicaid
NE	$$$$$$$$$01	Medicaid
KS	KA3249090	Other	MEDICARE PIN
NE	$$$$$$$$$04	Medicaid
NE	NA2517091	Other	MEDICARE PIN
NE	$$$$$$$$$00	Medicaid
KS	KA3249090	Medicare PIN
CO	561538ZLJ3	Other	MEDICARE PIN
KS	KA3249090	Other	MEDICARE PIN
NE	$$$$$$$$$01	Medicaid
CO	561538YQ33	Medicare PIN
CO	1689965949	Medicaid
NE	NA2517091	Medicare PIN
CO	561538YQN9	Medicare PIN