Provider Demographics
NPI:1255387205
Name:YU, JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10105 BANBURRY CROSS DR
Mailing Address - Street 2:SUITE 445
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-6646
Mailing Address - Country:US
Mailing Address - Phone:702-475-4390
Mailing Address - Fax:702-951-5456
Practice Address - Street 1:10105 BANBURRY CROSS DR
Practice Address - Street 2:SUITE 445
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-6646
Practice Address - Country:US
Practice Address - Phone:702-475-4390
Practice Address - Fax:702-951-5456
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11314207X00000X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100509657Medicaid
NV102748Medicare ID - Type Unspecified
NV100509657Medicaid