Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101222166 | VA |
N | 111NI0900X | Internist | 0101222166 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | 0101222166 | VA |
Y | 207RC0000X | Internist - Cardiovascular Disease | MD60653178 | WA |
NPI | 1013987841 |
---|---|
Provider Name | Dr. Ting-Wei Yang |
First Address | Renton, WA 98057 |
Second Address | Renton, WA 98055-5782 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 18/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2107808 | (05) | WA |
G8984952 | MEDICARE W VALLEY MEDICAL GROUP - RENTON (01) | WA |