Individual
AUSTIN T YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10105 BANBURRY CROSS DRIVE, SUITE 370, LAS VEGAS, NV 89144
(702) 260-2545
(702) 869-0133
Mailing address
10105 BANBURRY CROSS DRIVE, SUITE 370, LAS VEGAS, NV 89144
(702) 260-2545
(702) 869-0133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20858
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001012
MIDWEST HEALTH PLANS
MI
01
—
020691
MIDWEST HEALTH PLANS
MI
01
—
108884
GREAT LAKES HEALTH PLANS
MI
01
—
149304
GREAT LAKES HEALTH PLANS
MI
05
—
3199450
—
MI
01
—
350H210660
BCBSM/BCN
MI
01
—
350Q260790
BCBSM/BCN
MI
01
—
41604
OMNICARE HEALTH PLANS
MI
05
—
4164960
—
MI
01
—
50317
OMNICARE HEALTH PLANS
MI
01
—
G18648
HEALTH ALLIANCE PLANS
MI
Enumeration date
04/28/2006
Last updated
07/12/2021
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