Individual
DON CHAN YOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
217422
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD11367
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003123859
CT MED ASSISTANCE
—
01
—
1988
NHPRI
—
01
—
2008751
MASS MEDICAID
—
01
—
411591
BLUE CHIP
—
01
—
9003453
RI MEDICAL ASSISTANCE
—
01
—
9208788
CIGNA
—
01
—
9281684
PHHCS
—
01
—
AA21773
RIHPILGRIM
—
01
—
P00137143
RAILROAD MEDICARE
—
Enumeration date
11/14/2005
Last updated
03/25/2019
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