Healthcare Provider Details
I. General information
NPI: 1477621902
Provider Name (Legal Business Name): MARY ANN YI-ANG HUANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/01/2006
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1601 E 19TH AVE STE 5050
DENVER CO
80218-1200
US
IV. Provider business mailing address
1601 E 19TH AVE STE 5050
DENVER CO
80218-1200
US
V. Phone/Fax
- Phone: 720-754-2155
- Fax: 720-754-2106
- Phone: 720-754-2155
- Fax: 720-754-2106
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | DR.0056376 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 4301076336 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: