Healthcare Provider Details

I. General information

NPI: 1811359011
Provider Name (Legal Business Name): WILLIAM EDWARD YANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2016
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 ROCKLEDGE DR STE 200
BETHESDA MD
20817-1830
US

IV. Provider business mailing address

6410 ROCKLEDGE DR STE 200
BETHESDA MD
20817-1830
US

V. Phone/Fax

Practice location:
  • Phone: 301-897-5301
  • Fax: 410-367-2059
Mailing address:
  • Phone: 301-897-5301
  • Fax: 410-367-2059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD87038
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD210011591
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD87038
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: