Provider Demographics
NPI:1255925947
Name:YENGEH UROLOGY LLC
Entity type:Organization
Organization Name:YENGEH UROLOGY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DESMOND
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ADAMU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-230-6696
Mailing Address - Street 1:1200 E SAVANNAH AVE STE 18
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1728
Mailing Address - Country:US
Mailing Address - Phone:956-230-6696
Mailing Address - Fax:
Practice Address - Street 1:1200 E SAVANNAH AVE STE 18
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1728
Practice Address - Country:US
Practice Address - Phone:956-230-6696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty