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Individual

DR. SUJIN YU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6025 METROPOLITAN DR, SUITE 205, BEAUMONT, TX 77706-2407
(409) 234-7088
(409) 892-8237
Mailing address
6025 METROPOLITAN DR, SUITE 205, BEAUMONT, TX 77706-2407
(409) 234-7088
(409) 892-8237

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K2142
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0020HD
GROUP BCBS
TX
05
030255603
TX
01
130025171
RAILROAD MEDICARE
TX
05
148913001
TX
01
4649893001
CIGNA
TX
01
5194643
AETNA
TX
01
8F3762
BCBS PROVIDER ID
TX
01
A004
TRICARE/CHAMPUS
TX
Enumeration date
07/21/2005
Last updated
03/31/2014
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