Provider Demographics
NPI:1093085987
Name:SHENGKUN YAO, MD PA
Entity Type:Organization
Organization Name:SHENGKUN YAO, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:SHENG-KUN
Authorized Official - Middle Name:
Authorized Official - Last Name:YAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-779-3355
Mailing Address - Street 1:9110 BELLAIRE BLVD
Mailing Address - Street 2:E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4626
Mailing Address - Country:US
Mailing Address - Phone:713-779-3355
Mailing Address - Fax:
Practice Address - Street 1:9110 BELLAIRE BLVD STE E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4627
Practice Address - Country:US
Practice Address - Phone:713-779-3355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3881261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care