MEDICARE: DR. LEE OUYANG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	0116030842	VA
2	207V00000X	Obstetrics & Gynecology Physician	0101271635	VA

General Provider Information

NPI Number	:	1497296750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEE OUYANG MD

Provider Business Mailing Address
First Line	:	828 HEALTHY WAY STE 330
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-7959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	828 HEALTHY WAY STE 330
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-7959
Country	:	US
Telephone Number	:	757-461-3890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2017
Last Update Date	:	03/06/2025

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