MEDICARE: YU YANG M.D.

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	ME146456	FL
2	390200000X	Student in an Organized Health Care Education/Training Program

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	:	1750777884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YU YANG M.D.

Provider Business Mailing Address
First Line	:	4800 SW 35TH DR
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-7686
Country	:	US
Telephone Number	:	352-265-0172
Fax Number	:

Provider Business Practice Location Address
First Line	:	MEDICAL CENTER BLVD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27157-0001
Country	:	US
Telephone Number	:	336-716-4311
Fax Number	:

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

Provider Enumeration Date	:	04/15/2015
Last Update Date	:	11/12/2020

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Directions to “ YU YANG M.D.” Practice Location

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