Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 036151993 | IL |
N | 2080P0214X | Pediatric Pulmonologist | 106236 | AK |
N | 2080P0214X | Pediatric Pulmonologist | 20A8797 | CA |
N | 2080P0214X | Pediatric Pulmonologist | DO-04240 | IA |
NPI | 1245458595 |
---|---|
Provider Name | Harry C Yuan |
First Address | Urbana, IL 61801 |
Second Address | Urbana, IL 61801-2529 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 12/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
106236 | ALASKA STATE MEDICAL LICENSE (01) | AK |
20A8797 | OSTEOPATHIC MED. LICENSE (01) | CA |