Provider Demographics
NPI:1871502997
Name:YU, KEUN HO (MD)
Entity Type:Individual
Prefix:DR
First Name:KEUN
Middle Name:HO
Last Name:YU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6441 RIVER RUN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044
Mailing Address - Country:US
Mailing Address - Phone:410-988-9019
Mailing Address - Fax:410-402-7224
Practice Address - Street 1:55 WADE AVE
Practice Address - Street 2:SPRING GROVE HOSPITAL
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228
Practice Address - Country:US
Practice Address - Phone:410-402-6000
Practice Address - Fax:410-402-7224
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD129342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD54588Medicaid