Provider Demographics
NPI:1518902444
Name:YUNYONGYING, MALINEE (MD)
Entity Type:Individual
Prefix:MRS
First Name:MALINEE
Middle Name:
Last Name:YUNYONGYING
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 1:5400 OLD COURT RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133
Mailing Address - Country:US
Mailing Address - Phone:410-922-3766
Mailing Address - Fax:410-922-0782
Practice Address - Street 1:5400 OLD COURT RD
Practice Address - Street 2:SUITE 201
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133
Practice Address - Country:US
Practice Address - Phone:410-922-3766
Practice Address - Fax:410-922-0782
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD15938208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
977QMedicare ID - Type Unspecified
G86112Medicare UPIN