MEDICARE: BETTY H YAO MD A PROFESSIONAL CORPORATION

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1750301016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETTY H YAO MD A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	5185 S DURANGO DR
Second Line	:	STE 1
City	:	LAS VEGAS
State	:	NV
Zip	:	89113
Country	:	US
Telephone Number	:	702-933-6530
Fax Number	:	702-933-6533

Provider Business Practice Location Address
First Line	:	5185 S DURANGO DR
Second Line	:	STE 1
City	:	LAS VEGAS
State	:	NV
Zip	:	89113
Country	:	US
Telephone Number	:	702-933-6530
Fax Number	:	702-933-6533

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BETTY H YAO
Credential	:	MD
Telephone Number	:	702-933-6530

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	12/14/2017

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