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NPI Code Detail

MEDICARE: DR. GANG YE MD

MEDICARE: DR. GANG YE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RX0202XMedical Oncology PhysicianMD00046134WA
2207RH0000XHematology (Internal Medicine) PhysicianMD00046134WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245229137
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GANG YE MD
Provider Business Mailing Address
First Line : 700 NE 87TH AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98664-1913
Country : US
Telephone Number : 360-882-2778
Fax Number : 360-604-1728
Provider Business Practice Location Address
First Line : 700 NE 87TH AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98664-1913
Country : US
Telephone Number : 360-882-2778
Fax Number : 360-604-1728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 10/13/2010

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Directions to “ DR. GANG YE MD” Practice Location

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