Healthcare Provider Details

I. General information

NPI: 1730005711
Provider Name (Legal Business Name): RUOHAI YANG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 WOOD ST APT 16
LOWELL MA
01851-2126
US

IV. Provider business mailing address

151 WOOD ST APT 16
LOWELL MA
01851-2126
US

V. Phone/Fax

Practice location:
  • Phone: 978-942-6218
  • Fax: 978-233-9475
Mailing address:
  • Phone: 978-942-6218
  • Fax: 978-233-9475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: