Provider Demographics
NPI:1295122356
Name:HAN, YU (MD)
Entity type:Individual
Prefix:
First Name:YU
Middle Name:
Last Name:HAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17530 NE UNION HILL RD STE 140
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3388
Mailing Address - Country:US
Mailing Address - Phone:425-553-4325
Mailing Address - Fax:425-249-3189
Practice Address - Street 1:17530 NE UNION HILL RD STE 140
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3388
Practice Address - Country:US
Practice Address - Phone:425-553-4325
Practice Address - Fax:425-249-3189
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60916507207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1295122356Medicaid