Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 0101260272 | VA |
Y | 207RH0003X | Hematology & Oncology | D70053 | MD |
NPI | 1053516401 |
---|---|
Provider Name | Yin Wu |
First Address | Baltimore, MD 21215-5216 |
Second Address | Baltimore, MD 21215-5216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2007 |
Last Update Date | 11/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
520062800 | (05) | MD |
S053-0081 | CAREFIRST BC/BS (01) | MD |