Provider Demographics
NPI:1578668554
Name:HO, JOHN JEN YEANG (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:JEN YEANG
Last Name:HO
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 1:2909 WINDMILL RD
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-1681
Mailing Address - Country:US
Mailing Address - Phone:610-678-4577
Mailing Address - Fax:610-678-4579
Practice Address - Street 1:2909 WINDMILL RD
Practice Address - Street 2:
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-1681
Practice Address - Country:US
Practice Address - Phone:610-678-4577
Practice Address - Fax:610-678-4579
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034657E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1038361Medicaid
PAH063365Medicare ID - Type Unspecified
C28669Medicare UPIN