Provider Demographics
NPI:1023017381
Name:YU, BINGFEN GRACE (MD)
Entity type:Individual
Prefix:DR
First Name:BINGFEN
Middle Name:GRACE
Last Name:YU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2941 E CHOLLA ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-1936
Mailing Address - Country:US
Mailing Address - Phone:602-509-4950
Mailing Address - Fax:
Practice Address - Street 1:2941 E CHOLLA ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-1936
Practice Address - Country:US
Practice Address - Phone:602-509-4950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2024-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ33469207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ959314001Medicaid
AZZWCGBRMedicare PIN
AZ959314001Medicaid