Provider Demographics
NPI:1023074267
Name:WILLIAMS, YURA K (MD)
Entity type:Individual
Prefix:DR
First Name:YURA
Middle Name:K
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YURA
Other - Middle Name:K
Other - Last Name:JARRELLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 44405
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-6405
Mailing Address - Country:US
Mailing Address - Phone:410-268-8191
Mailing Address - Fax:443-451-8657
Practice Address - Street 1:7701 BELAIR RD
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-4005
Practice Address - Country:US
Practice Address - Phone:410-268-8191
Practice Address - Fax:443-451-8657
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00603432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403156300Medicaid
MDH026Medicare ID - Type Unspecified
MD403156300Medicaid