Provider Demographics
NPI:1033159207
Name:CHEN-YANG, VICKY H (MD)
Entity Type:Individual
Prefix:
First Name:VICKY
Middle Name:H
Last Name:CHEN-YANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VICKY
Other - Middle Name:HSIAO-YING
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7831 W DEER VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-2140
Mailing Address - Country:US
Mailing Address - Phone:623-312-2265
Mailing Address - Fax:623-312-2266
Practice Address - Street 1:7831 W DEER VALLEY RD
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-2140
Practice Address - Country:US
Practice Address - Phone:623-312-2265
Practice Address - Fax:623-312-2266
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29341207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ570673Medicaid
AZ570673Medicaid
AZH39660Medicare UPIN
AZZ102556Medicare PIN