Provider Demographics
NPI:1548334808
Name:YANG, CHIH PING (MD)
Entity type:Individual
Prefix:
First Name:CHIH
Middle Name:PING
Last Name:YANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10152 RAMBLEWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6565
Mailing Address - Country:US
Mailing Address - Phone:954-755-5931
Mailing Address - Fax:954-340-2883
Practice Address - Street 1:10152 RAMBLEWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6565
Practice Address - Country:US
Practice Address - Phone:954-464-6153
Practice Address - Fax:954-340-2883
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME26418207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCC 3717Medicare PIN
FLH24465Medicare UPIN