Basic Information
| Provider Information | |||||||||
| NPI: | 1497984405 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | YUO | ||||||||
| FirstName: | CHRISTAL | ||||||||
| MiddleName: | COSTELLO | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3811 OHARA ST | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152132593 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4125869109 | ||||||||
| FaxNumber: | 4122465560 | ||||||||
| Practice Location | |||||||||
| Address1: | 3811 OHARA ST | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152132593 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4125869109 | ||||||||
| FaxNumber: | 4122465560 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2009 | ||||||||
| LastUpdateDate: | 07/11/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | MT194994 | PA | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.