Healthcare Provider Details

I. General information

NPI: 1730362567
Provider Name (Legal Business Name): JULIAN P. YANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2007
Last Update Date: 02/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3824 DUMC
DURHAM NC
27710
US

IV. Provider business mailing address

3824 DUMC
DURHAM NC
27710
US

V. Phone/Fax

Practice location:
  • Phone: 919-681-1709
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberP6557
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberP6557
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: