Provider Demographics
NPI:1821239260
Name:YU, TAK-PO ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:TAK-PO
Middle Name:ANTHONY
Last Name:YU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 485
Mailing Address - Street 2:
Mailing Address - City:SLATERSVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02876-0485
Mailing Address - Country:US
Mailing Address - Phone:401-766-3657
Mailing Address - Fax:401-766-3657
Practice Address - Street 1:238 MAIN ST
Practice Address - Street 2:
Practice Address - City:SLATERSVILLE
Practice Address - State:RI
Practice Address - Zip Code:02876-0485
Practice Address - Country:US
Practice Address - Phone:401-766-3657
Practice Address - Fax:401-766-3657
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD55342085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology