Provider Demographics
NPI:1801827704
Name:NORMA C YU MD
Entity Type:Organization
Organization Name:NORMA C YU MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:CHING
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-962-9696
Mailing Address - Street 1:322 W RIVERSIDE ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24426-1219
Mailing Address - Country:US
Mailing Address - Phone:540-962-9696
Mailing Address - Fax:540-962-9704
Practice Address - Street 1:322 W RIVERSIDE ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:VA
Practice Address - Zip Code:24426-1219
Practice Address - Country:US
Practice Address - Phone:540-962-9696
Practice Address - Fax:540-962-9704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101026046261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA110215198OtherMEDICARE PALMETTO GBA RR
VAPENDINGMedicare PIN