Individual
LUKE YAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2722 MERRILEE DR, SUITE 230, FAIRFAX, VA 22031-4400
(703) 698-4483
(703) 573-0880
Mailing address
2722 MERRILEE DR, SUITE 230, FAIRFAX, VA 22031-4400
(703) 698-4444
(703) 573-0880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101236664
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099
CAREFIRST
VA
01
—
0101236664
LICENSE
VA
01
—
265069
KAISER
VA
05
—
3810008994
—
WV
01
—
P00416050
RAILROAD MEDICARE
DC
01
—
P00429962
MEDICARE PIN
DC
Enumeration date
01/10/2007
Last updated
03/07/2023
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