Provider Demographics
NPI:1578511424
Name:YAO, LIPING (MD)
Entity Type:Individual
Prefix:
First Name:LIPING
Middle Name:
Last Name:YAO
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 1:5 HAYWORTH CIR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2792
Mailing Address - Country:US
Mailing Address - Phone:610-518-1800
Mailing Address - Fax:610-518-1802
Practice Address - Street 1:682 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2514
Practice Address - Country:US
Practice Address - Phone:610-518-1800
Practice Address - Fax:610-518-1802
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-070251-L2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7134132OtherAETNA
PA039241Medicare ID - Type UnspecifiedMEDICARE
PAH19548Medicare UPIN