Provider Demographics
NPI:1275632598
Name:DING, YIMING (MD)
Entity Type:Individual
Prefix:
First Name:YIMING
Middle Name:
Last Name:DING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YIMIN
Other - Middle Name:
Other - Last Name:DING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1000 CARBONDALE WAY
Mailing Address - Street 2:
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-1644
Mailing Address - Country:US
Mailing Address - Phone:917-684-6013
Mailing Address - Fax:
Practice Address - Street 1:2480 LLEWELLYN AVENUE
Practice Address - Street 2:
Practice Address - City:NORTH QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02171
Practice Address - Country:US
Practice Address - Phone:301-677-8998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101254183207Q00000X
MA222092207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA37813OtherFAMILY MEDICINE