Provider Demographics
NPI:1922032895
Name:YU, SHERMAN C (MD)
Entity Type:Individual
Prefix:
First Name:SHERMAN
Middle Name:C
Last Name:YU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5115 FANNIN ST
Mailing Address - Street 2:SUITE 950
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-5898
Mailing Address - Country:US
Mailing Address - Phone:713-493-7700
Mailing Address - Fax:281-971-4065
Practice Address - Street 1:5115 FANNIN ST
Practice Address - Street 2:SUITE 950
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5898
Practice Address - Country:US
Practice Address - Phone:713-493-7700
Practice Address - Fax:281-971-4065
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM2217208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174551501Medicaid
8BD491OtherBCBS
8BD491OtherBCBS
TX174551501Medicaid