Healthcare Provider Details

I. General information

NPI: 1679144554
Provider Name (Legal Business Name): YADANAR WIN LEI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 CENTRAL AVE
PHILADELPHIA PA
19111-2442
US

IV. Provider business mailing address

2483 CAMBRELENG AVE APT 6
BRONX NY
10458-6391
US

V. Phone/Fax

Practice location:
  • Phone: 215-728-2275
  • Fax: 215-214-4119
Mailing address:
  • Phone: 347-951-4133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD483793
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: