Individual
MIKE YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15825 SHADY GROVE RD STE 130, ROCKVILLE, MD 20850-4031
(240) 660-2786
(240) 516-7056
Mailing address
15005 SHADY GROVE RD STE 100, ROCKVILLE, MD 20850-6341
(240) 660-2798
(301) 576-3698
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101248968
VA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D0074228
MD
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
MD443050
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243224
MEDICARE PTAN
DC
01
—
243456
MEDICARE PTAN
MD
Enumeration date
06/29/2008
Last updated
07/10/2024
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