Healthcare Provider Details

I. General information

NPI: 1285772426
Provider Name (Legal Business Name): GUANHU YANG C.AC., O.M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10653 TECHWOOD CIR SUITE 101
CINCINNATI OH
45242-2833
US

IV. Provider business mailing address

7201 CAMARGO GREENE CT
CINCINNATI OH
45243-2237
US

V. Phone/Fax

Practice location:
  • Phone: 513-272-2224
  • Fax:
Mailing address:
  • Phone: 513-272-2224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number77
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: