Healthcare Provider Details

I. General information

NPI: 1336302439
Provider Name (Legal Business Name): YI HUA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 07/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 N 15TH ST MAIL STOP 310
PHILADELPHIA PA
19102-1101
US

IV. Provider business mailing address

245 N 15TH ST MAIL STOP 310
PHILADELPHIA PA
19102-1101
US

V. Phone/Fax

Practice location:
  • Phone: 215-762-7922
  • Fax: 215-762-8656
Mailing address:
  • Phone: 215-762-7922
  • Fax: 215-762-8656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMT184709
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: