Provider Demographics
NPI:1003118068
Name:DUENAS MILIAN, YANELA MARGARITA (MD)
Entity Type:Individual
Prefix:
First Name:YANELA
Middle Name:MARGARITA
Last Name:DUENAS MILIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YANELA
Other - Middle Name:MARGARITA
Other - Last Name:DUENAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-594-4006
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:618 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:TAPPAHANNOCK
Practice Address - State:VA
Practice Address - Zip Code:22560-5000
Practice Address - Country:US
Practice Address - Phone:804-443-3311
Practice Address - Fax:804-443-6150
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101249989207R00000X
DEC1-0012556208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1003118068Medicaid
VAVV3245AMedicare PIN
VAP00975425Medicare PIN