Yuan, Mike

Yuan, Mike is an individual health care provider with primary practice located at 15825 Shady Grove Rd Ste 130 , Rockville MD 20850-4031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Yuan, Mike can be contacted via phone (240) 660-2786.

Contact Information

Primary practice address
15825 Shady Grove Rd Ste 130 Rockville MD 20850-4031
Phone: (240) 660-2786
Fax: (240) 516-7056
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0101248968 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X MD443050 Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X D0074228 Maryland

Profile Details

NPI number 1285896407
LBN Legal business name Yuan, Mike
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2008
Last updated Jul 10th, 2024 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285896407 NPPES
District of Columbia Other 243224 MEDICARE PTAN
District of Columbia Other 243456 MEDICARE PTAN

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