Provider Demographics
NPI:1093851321
Name:YANG, KAI H (MD)
Entity Type:Individual
Prefix:
First Name:KAI
Middle Name:H
Last Name:YANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 ORCHARD STREET
Mailing Address - Street 2:#207
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511
Mailing Address - Country:US
Mailing Address - Phone:203-776-4444
Mailing Address - Fax:203-776-4441
Practice Address - Street 1:200 ORCHARD ST
Practice Address - Street 2:#207
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511
Practice Address - Country:US
Practice Address - Phone:203-776-4444
Practice Address - Fax:203-776-4441
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT30968207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
460000043Medicare ID - Type Unspecified
G46572Medicare UPIN