Provider Demographics
NPI:1225415631
Name:DANG, YU-XUAN (MD)
Entity Type:Individual
Prefix:
First Name:YU-XUAN
Middle Name:
Last Name:DANG
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 1:2495 HOSPITAL DR STE 650
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4187
Mailing Address - Country:US
Mailing Address - Phone:650-988-8460
Mailing Address - Fax:
Practice Address - Street 1:2495 HOSPITAL DR
Practice Address - Street 2:STE 650
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4187
Practice Address - Country:US
Practice Address - Phone:650-988-8460
Practice Address - Fax:650-988-8478
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-05
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA147312207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine