Individual
FANG YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17310 WRIGHT ST STE 103, OMAHA, NE 68130-2405
(833) 228-6889
(877) 853-0376
Mailing address
17310 WRIGHT ST STE 103, OMAHA, NE 68130-2405
(833) 228-6889
(877) 853-0376
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2020035055
MO
2085R0202X
Diagnostic Radiology Physician
Primary
D0070197
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010730072
—
DC
05
—
035180600
—
MD
Enumeration date
06/27/2008
Last updated
04/11/2023
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