Provider Demographics
NPI:1770590861
Name:YAU, HANFORD KS (MD)
Entity type:Individual
Prefix:DR
First Name:HANFORD
Middle Name:KS
Last Name:YAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HANFORD
Other - Middle Name:K
Other - Last Name:YAU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:13800 VETERANS WAY
Mailing Address - Street 2:CLINIC 1D
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-5812
Mailing Address - Country:US
Mailing Address - Phone:407-631-1050
Mailing Address - Fax:407-513-9317
Practice Address - Street 1:13800 VETERANS WAY
Practice Address - Street 2:CLINIC 1D
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-5812
Practice Address - Country:US
Practice Address - Phone:407-631-1050
Practice Address - Fax:407-513-9317
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96501207RE0101X, 207UN0902X
FLME 112651207UN0902X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA96501OtherMEDICAL LICENSE
FLME 112651OtherMEDICAL LICENSE
FLME 112651OtherMEDICAL LICENSE
BY9974545OtherDEA REGISTRATION NUMBER