Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | MD045244 | DC |
N | 208000000X | Pediatrician | MD045244 | DC |
Y | 2084N0402X | Child Neurologist | MD045244 | DC |
NPI | 1013279330 |
---|---|
Provider Name | Dr. Sho T Yano |
First Address | Bethesda, MD 20892-3717 |
Second Address | Bethesda, MD 20892-1425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2012 |
Last Update Date | 29/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
125-061045 | ILLINOIS DEPT OF FINANCIAL AND PROFESSIONAL REGULATION (01) | IL |
MD045244 | DC DEPT OF HEALTH BOARD OF MEDICINE (01) | DC |