MEDICARE: PAUL P YANG 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
1	207P00000X	Emergency Medicine Physician	35071034	OH
2	207Q00000X	Family Medicine Physician	35071034	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1548248024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL P YANG MD

Provider Business Mailing Address
First Line	:	3570 PLEASANT AVE.
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45015
Country	:	US
Telephone Number	:	513-863-6463
Fax Number	:	513-863-2440

Provider Business Practice Location Address
First Line	:	3570 PLEASANT AVE.
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45015
Country	:	US
Telephone Number	:	513-863-6463
Fax Number	:	513-863-2440

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	04/29/2009

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Directions to “ PAUL P YANG MD” Practice Location

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