Provider Demographics
NPI:1922038405
Name:HUANG, FREDERICK YUH (MD)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:YUH
Last Name:HUANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 HAYES ST STE 105
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-4455
Mailing Address - Country:US
Mailing Address - Phone:415-672-5730
Mailing Address - Fax:917-900-1657
Practice Address - Street 1:333 HAYES ST STE 105
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-4455
Practice Address - Country:US
Practice Address - Phone:415-672-5730
Practice Address - Fax:917-900-1657
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA732212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H76187Medicare UPIN